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Anthem, Inc. Regional VP, Clinical Field Ops in Columbus, Ohio

Description

SHIFT: Day Job

SCHEDULE: Full-time

ASPIRE

Your Talent. Our Vision. At Aspire, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination. It’s the foundation upon which we’re creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.

Aspire is a proven care delivery model for the highest-risk. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients. We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. As an Anthem subsidiary, we benefit from the scale and resources one of America’s largest managed healthcare organizations.

Regional Vice President of Clinical Operations (Director Clinical Field Operations)

 Operations Aspire Health Overview

Aspire Health is seeking a Regional Vice President of Clinical Operations to provide clinical oversight of all activities in the region. Aspire is the nation’s largest provider of home-based palliative care and is currently operating in 25 states and 67 cities. Aspire specializes in providing an extra layer of support to patients facing a serious illness through a palliative care program focused on caring for patients in their homes and outpatient clinics.

Aspire clinicians (e.g., physicians, nurse practitioners, physician assistants, registered nurses and social workers) are experts in providing symptom management, with a focus on relieving the pain and stress of a serious illness, helping patients and caregivers navigate the healthcare system, guiding patients and caregivers through difficult and complex treatment choices, and providing emotional and spiritual support to patients and their families.

About the Regional Vice President of Clinical Operations Position

The RVP of Clinical Operations is responsible for the overall region/market provider clinical care, utilization and productivity. This includes oversight of the region’s clinical and non-clinical staff to ensure that Aspire abides by one of its stated visions, achieving Clinical Excellence.

As such, the RVP of Clinical Operations is the owner of the clinical competence, clinical quality, and clinical effectiveness of the service delivery model. They are responsible for the execution of Aspire’s clinical model, which includes visit schedules and productivity measures. This role will report directly to the Executive Vice President/Market President and will collaborate closely with the Regional Vice President of Operations for the region, who has overall responsibility for health plan relationships and the region’s P&L. The region’s Clinical Directors will report directly to the RVP Clinical Operations.

Position Responsibilities

  • Responsible for overall region/market provider Clinical Care, Utilization and Productivity. Partner and collaborate closely with the RVP-Operations and other Aspire groups to establish and achieve metrics and measures, delivering successfully against those goals.

  • Ensures clinical quality and provides clinical expertise within the market – owns field clinical quality outcomes (CQR and management dashboard analytics). Is responsible for the reporting and analyzing of patient care quality and for the development of plans and programs to support continuous quality improvement which lead to improved clinical outcomes in the market.

  • Assists the Chief Medical Officer and Chief Clinical Officer in clinical quality, compliance integration, and process improvement.

  • Owns field compliance integration (best practices, QA, SOPs, Revenue and Quality Management initiatives, etc.).

  • Works collaboratively with key corporate and field leaders to identify opportunities for improvement, perform trend analysis and education that result in the development of appropriate action plans for problem resolution.

  • Responsible for clinical competence, clinical quality, and clinical effectiveness of the service delivery model, leads Inter-Disciplinary Team (IDT) efforts, serves as a mentor, coach, and trainer for team leaders and clinical directors.

  • Ensures the highest quality of clinical care through performance management initiatives, including training, continuing education, and other programs.

  • Responsible for team member talent acquisition to ensure the identification and selection of the highest quality providers for Aspire and sufficient coverage for existing and projected patient needs.

  • Administers ride-alongs, preceptorship, development through role playing and scenario reviews, coaching on clinical prioritization and discussions (disease trajectory, hospice transitions, plans of care, etc.).

  • Supports the RVP Operations and physicians with business development and provider relations as needed.

  • Works in partnership with the SVP, Operations to understand and improve clinical, operational and financial performance of the region.

Qualifications

The health and safety of our associates, members and communities is a top priority for Anthem.  This priority has become increasingly important as we continue to face the challenges of the COVID-19 pandemic.  Anthem believes vaccination is the best way to reduce the spread of COVID-19 and protect our members, our communities, our families and ourselves. To minimize the risk of transmission of the COVID-19 virus and maintain a safe and healthy workplace, vaccination is required for this role. (At Anthem, fully vaccinated means it has been at least two weeks since you have received the second dose of a two-dose vaccine such as Moderna or Pfizer, or the single dose of a single dose vaccine, such as Johnson & Johnson).

If you do not meet the requirements for this position, we encourage you to review other positions that currently allow virtual work. If you have a medical or sincerely held religious reason for not being vaccinated, consistent with applicable law, Anthem will consider requests for reasonable accommodation on this basis. Should you have any questions regarding the requirement after applying, email TalentAcquisitionVaccinationSupport@anthem.com (TalentAquisitionVaccinationSupport@anthem.com) .

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

  • At least 3 to 5 years of experience successfully managing a health service program that employs clinicians and operates a medical practice, clinic, home health agency, or care coordination program, with successful experience in home care, hospice, palliative care, or geriatrics strongly preferred. Nurse Practitioner or Registered Nurse licensure is preferred.

  • Demonstrated success in delivering clinical excellence by identify and ensuring quality performance management programs and providing development of clinicians.

  • Leads by influence with the ability to engage and motivate team members toward success and achievement of common goals by utilizing effective coaching, mentoring, and development programs and initiatives.

  • Successful collaboration with the ability to work across boundaries both within Aspire and with our supported providers and health plans. This includes the ability to partner with corporate and field leaders toward identification of opportunities for improvement, trend analysis, education that result in the development of appropriate action plans for problem resolution.

  • Has a strong alignment with palliative and chronic care and the Aspire mission, showing compassion for Aspire’s patients, providers, and clinicians, and embraces the opportunity to play a key role in the changing health care landscape.

  • Works quickly and effectively. Goes the extra mile in a rapidly changing environment, with an exceptionally strong work ethic, willing and able to devote the time and effort necessary to achieve organizational results.

  • Travels as needed to support assigned markets and teams.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2020 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS60138

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