Senior Director of Clinical Operations, Value Based Care

THE COMPANY  

At Cardiovascular Associates of America (CVAUSA), we believe that the total cost of cardiovascular care is too high and the optimal way to identify and remove the avoidable costs in cardiovascular care delivery is by equipping and empowering cardiovascular physicians with new care models and new financial incentives via risk-based contracts. 
Novocardia, the value-based care division of CVAUSA, is responsible for supporting our partner practices to transform care models in ways which improve care quality and help achieve the triple aim and implement risk-based contracting.   We are deeply passionate about improving care quality, and about providing more Americans with access to great, evidence-based chronic disease care. We are also committed to building more sustainable and durable payment models for this care – models which reward clinicians for delivering the right care, in the right place at the right time.   

Opportunity

CVAUSA is seeking a Sr Director of Value Based Care Clinical Operations to join our Novocardia Division. This role focuses on managing clinical teams for partnerships in arrangements that include total cost of care, sub-capitation cardiology models, and bundled payment agreements. This is an externally facing role focused on fostering strong relationships with partners, facilitating strategic alignment, and ensuring operational success.
Reporting directly to the Division President, the Sr Director of Clinical Operations leads the VBC clinical care model and workforce, establishes reliable clinical operating processes, and ensures clinical performance is aligned with contractual and quality requirements. This role The role contributes clinical and operational leadership to Joint Operating Committees and partner discussions, in partnership with the accountable Market/Partner leader.

Job Responsibilities

• Relationship Management:
  • Serve as the clinical operations point of contact for external partners in value-based care arrangements.
  • Design and manage escalation and collaboration processes between Operators and external partners.
  • Build and maintain strong, collaborative relationships with key stakeholders, including health system leaders, payers, and provider groups in collaboration with market leadership.
  • Understand strategic partner needs and priorities, identifying opportunities for innovation and collaboration.
• Operational Oversight:
  • Direct oversight of the clinical supervisors and overall program operations Responsible for development, execution and performance oversight of all clinical-operating components of value-based care initiatives.
  • Own the clinical operations portion of JOC materials, including care-model performance, clinical KPIs, staffing/capacity considerations, operational barriers, corrective actions, and clinical readiness commitments in collaboration with Medical Economics, Data & Analytics, Operations, and Leadership team
  • Responsible for contract performance, identifying risks and opportunities for improvement in collaboration with internal teams. Collaborate with Data & Analytics around contract reporting; collaborate with Operations around metric outlier management.
  • Responsible for clinical team KPIs and success metrics. This leader will direct the clinicians, policies, procedures and execution of the clinical model.
  • Develop scalable processes and ensure regulatory requirements including payor contractual metrics are met.
• Strategic Alignment:
  • Understand the financial, clinical, and operational drivers of risk-bearing cardiology agreements.
  • Work closely with internal analytics, medical economics, clinical operations, and finance teams to track outcomes, support decision-making, and drive partner satisfaction.
  • Proactively identify and pursue opportunities to optimize performance under existing agreements.
  • Understand strategic partner needs, priorities, and objectives that may be relevant to future contract renewal.
• Reporting and Communication:
  • Prepare and present performance updates, recommendations, and action plans to both internal leadership and external partners.
  • Ensure timely and transparent communication of risks, challenges, and achievements.
  • Strong verbal and written presentation skills. Able to engage and connect with a broad spectrum of stakeholders across the healthcare landscape.
  • Ability to communicate at both a strategic level and a more granular tactical level.

Qualifications

• Bachelor’s degree in business administration, healthcare management, or clinical degree, Registered Nurse, Nurse Practitioner, Physician Associate or a related field
• 7+ years of progressive leadership experience in healthcare clinical operations, care management, population health, specialty value-based care, or a related field, including experience leading multidisciplinary clinical teams and improving performance in risk-bearing arrangements. care.
• Experience in value-based care with Medicare Advantage plans required.
• Proven ability to manage complex partnerships and drive outcomes in risk-bearing arrangements with wrap around virtual care teams.
• Excellent interpersonal, negotiation, and communication skills, with a demonstrated ability to influence and build consensus among diverse stakeholders.
• Strong organizational and project management skills, with the ability to manage multiple priorities simultaneously.
• Familiarity with specialty value-based care clinical operations and financial modeling.
• Proven operational excellence with experience leading clinical value-based care teams.

This is a fulltime opportunity  
Remote (strong preference for candidates residing in FL, preferably central FL, must reside in Eastern or Central time zone)
Travel: 25%

Originally posted on Himalayas