Director, Population Health And Value Based Care
Louisville, 40223, Us
This position was responsible for ensuring effective planning and execution of strategic initiatives pertaining to population health and value-based care endeavors at Baptist Health. This included the ACO (Baptist Health Care Partners), the Clinically Integrated Network (Baptist Health Network Partners), the health plan (Baptist Health Plan) and Baptist Health Medical Group with a combined impact of 1400 providers and 70,000 covered lives. My team was responsible for improving in-system utilization of affiliated/employed providers, performing in risk-based arrangements such as bundled payments, managing the relationship with several consulting partners, expanding the Clinically Integrated Network and the operational effectiveness of Baptist's Accountable Care Organization in the Medicare Shared Savings Program. During my time there, my team positively impacted overarching quality scores by 15 percentile points, implemented a longitudinal care coordination and care gap tracking solution, created a skilled-nursing facility-tiering program and engaged over 1100 providers in cost and utilization management for their patients. Further, I served as the organizational expert on governmental programs such as MACRA (Medicare Access and CHIP Reauthorization Act) and BPCI-Advanced (Bundled Payment for Care Improvement) while leading our efforts to apply and excel in each.