Vice President Health Services

Virginia Premier Health Plan is a non-profit managed care organization, locally owned by VCU Health. While they are headquartered in Richmond, they also have a presence in Bristol, Wise, Richlands, Winchester, Roanoke, Tidewater and Northern Virginia. This enables them to serve vulnerable populations throughout the state. Virginia Premier Health Plan focuses their resources on member services, offering a Medicaid Plan, Virginia Premier CompleteCare, a plan for those who are dually eligible, Virginia Premier Elite Plus, a plan for those needing long-term services and supports and Virginia Premier Elite, a Medicare Advantage Plan. They opened their first Patient-Centered Medical Home in Roanoke, VA in 2014. Please visit their website at www.vapremier.com.

The Vice President, Health Services will be responsible for oversight and management of integrated health services within the medical management department which encompasses Population Health Management, Utilization Management, Case Management, and Disease Management for all VPHP regions and lines of business. The successful candidate will work collaboratively with the Chief Medical Officer to develop and implement processes to effectively manage clinical policies set by the Medical Management Department to meet healthcare cost and quality targets. This position interprets key performance metrics to develop plans, mobilize the work force, and achieve the organization’s medical management outcomes relative to the Quadruple Aim <x{(}>(</x{(}>improved population health, improved experience of care for patients and providers, and lower healthcare costs). The successful candidate will work with the Health Services team to develop and implement effective and efficient standards, protocols, processes, decision support systems, reporting and benchmarks that support ongoing improvements of clinical operations functions and promote quality, cost-effective health care for Virginia Premier Health Plan members. The VP, Health Services will be responsible for effective working relationships with regulatory/community agencies, provider communities, hospitals, and departments within Virginia Premier to improve operations, member outcomes and health plan expansion through growth opportunities. This position serves as part of the executive leadership team and has shared accountability for an integrated approach to meeting overall department and company goals.

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