Vice President, Population Health Outcomes (Quality)
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, Population Health Outcomes (Quality) is responsible for meeting the requirements of CMS and DMAS for Medicare and Medicaid lines of business. The successful candidate will work collaboratively with the Chief Medical Officer and other key leaders within the leadership team to develop and implement a quality strategy which supports ongoing systemic process improvement. Core functions/services are oversight of the HEDIS, CAHPS, HOS, STARS and Plan accreditation process from data collection and interpretation to implementation of programs and processes designed to improve population health outcomes for VPHP membership and ensure they meet or exceed contractual benchmarks for the quality performance targets. The successful candidate will be responsible for effective working relationships with regulatory/community agencies, providers, hospitals, and departments within Virginia Premier to improve quality, 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 the overall department and company goals.