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SVP Value Based Care, Operations

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce.

We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.

SUMMARY

The Senior Vice President, Value-Based Care Operations is accountable for the end-to-end operational performance of the organization's value-based care portfolio.

This role translates value-based contracts into repeatable, scalable operating models that improve quality, cost, access, and patient outcomes while achieving financial targets.

The SVP leads cross-functional execution across clinical and market operations to ensure consistent performance across markets.

This role will provide direct oversight of market/clinical operations, risk adjustment, & implementation of new private payor programs.

This role will partner closely with OCMO, VBC Growth and VBC Finance/Analytics/Technology to ensure successful execution against our clinical and financial goals.

Essential Duties and Responsibilities include the following.

Other duties and tasks may be assigned.


* Ensure successful deployment and performance of our existing and prioritized value-based care operating model and toolkit across all markets.



* Drive continuous improvement across care management, workflow standardization, and population health execution.


* Leverage data and insights to reduce performance variability across markets through standardized metrics and benchmarking.


* Align clinic operations, care management, and physician engagement with contract-specific requirements.


* Identify underperforming markets early and deploy rapid stabilization plans.



* Ensure operational readiness (clinical model, processes, tools) for new payor contracts, expansions, and risk arrangements.



* Lead operational scaling of new markets and risk contracts.

Innovate, design and prioritize new interventions that will further improve clinical impact and reduce total cost of care

Provide oversight and ensure connectedness between different operations components of our model


* Risk Adjustment / Market and Clinical Operations Affordability / Private Payor Implementation


* Develop talent and effectively lead operations and clinical team



* Establish structured management process: monthly operations reviews, quarterly business reviews.



* Own VBC P&L performance across all contracts and populations.



* Partner with Finance to manage forecasting, medical cost trends, and shared savings.


* Ensure disciplined budget management of care management and VBC infrastructure.



* Establish and maintain high-level physician partnerships.


* Ensure compliance with CMS, commercial payer, and state regulatory requirements.



* Oversee internal audit processes related to quality reporting, risk coding accuracy, utilization management, and do...




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