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External Affairs Director

Community Behavioral Health

This is a Full-time position in Philadelphia, PA posted October 26, 2021.

Position Overview:

The Director of Value Based Programs is responsible for overseeing the Value Based Purchasing (VBP) Department at Community Behavioral Health (CBH) and for providing leadership to ensure the VBP models achieve desired outcomes and requirements identified by Pennsylvania’s Office of Mental Health and Substance Abuse Services (OMHSAS). The Director serves as the leader and expert in the ongoing development, monitoring, and evaluation of CBH VBP Programs. The Director is responsible for leading value-based care strategy for the ongoing expansion of new models. The Director leverages internal and external relationships to cultivate an environment for behavioral health service providers to continue to flourish as they shift from a fee-for-service/claims-based payment structure and into VBP arrangements.

Essential Functions:

Leadership

  • Drives and communicates the vision of the Value Based Purchasing (VBP) Program for the organization
  • Oversees the Value Based Purchasing Department within CBH
  • Defines, builds, implements, and leads VBP models that supports strategic and operational initiatives and aligns priorities of CBH
  • Works collaboratively with departments across CBH to develop VBP models
  • Develops and leads VBP model program selection and prioritization methods
  • Monitors implementation processes, evaluation and monitoring processes, and makes adjustments to VBP models as needed based on outcomes
  • Facilitates and leads the VBP Committee
  • Leads the CBH Value-Based Care Meetings with CBH providers
  • Serves as the CBH point person in the OMHSAS VBP Meetings
  • Serves as the liaison between the VBP Committee, Value-Based Care Advisory Group, and the provider network
  • Collaborates with other Managed Care Organizations (MCOs) on VBP plan development
  • Presents at conferences on CBH’s innovative work (e.g., Open Minds)
  • Oversees the annual VBP state plan

Management

  • Manages a team of VBP Analysts
  • Works with the VBP Analysts to create a provider toolkit
  • Manage relationships with provider and stakeholder community

Capacity Building

  • Works directly with in-network providers to develop VBP models
  • Develops materials to post on the website to provide guidance to providers on VBP
  • Provides training to in-network providers on how to develop value-based models
  • Collaborates with the Communications Department to ensure training materials and a VBP toolkit are available on the CBH website, and ensures the CBH website has resource links
  • Conducts trainings for internal staff on VBP concepts, our initiatives, etc.

Position Requirements:

  • Education: Master’s degree in business administration, healthcare administration, public administration or similar degree.
  • License/Certification: N/A
  • Relevant Work Experience: Minimum of 5 years of healthcare management experience, preferably in a managed care organization, commercial insurance, or public behavioral health care service delivery system. Candidates must have demonstrated leadership abilities and success in developing and/or leading value-based and other strategic projects. Experience leading an organization through change and transformations is preferable.
  • Skills:
  • Thorough understanding of value based-purchasing, specifically with regards to development, modeling, monitoring, and evaluation
  • Knowledge of Pennsylvania HealthChoices preferred
  • Medicaid and other healthcare financing
  • Prior experience working in organizational transformations and ability to lead and direct change initiatives and innovative programming
  • Ability to engage, communicate, and interact effectively with external and internal executive level staff and other staff within organizations
  • Thorough understanding of healthcare operations and practices, including innovative and evidence-based practices and financing strategies
  • Strong verbal and written communication skills
  • Excellent interpersonal skills
  • Proficient meeting facilitation skills
  • Solid negotiation skills
  • Proficient in Microsoft Office

Equal Employment Opportunity: CBH provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, gender identity, sexual orientation, individual genetic information or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.

Americans with Disabilities Act: Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. CBH will determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

This job profile reflects management’s assignment of current duties, responsibilities, and essential functions; it does not prescribe all or restrict the tasks that may be assigned now, or in the future, relevant to the responsibilities for this position. Community Behavioral Health (CBH) may change the specific job duties with or without prior notice based on the needs of the organization.

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