Vice President, Market Delivery

| Remote
ABOUT THE ROLE
Bright Health Care (BHC) is responsible for the assessment, assembly, management, and commercialization of all of Bright Health’s networks and supporting assets nationally. These “Smart Networks” are payer agnostic, high-performing clinical networks centered around our Care Partners, both owned and affiliated, built to deliver integrated, affordable, and personalized health care through a variety of methods from network contracting to practice acquisition. BHC supports these Smart Networks with the delivery of value-based solutions and services to improve clinical outcomes, enhance patient satisfaction, reduce administrative burden, and lower the total cost of care while moving up the risk continuum to capture additional economic value. The Value Services Organization (VSO) is the commercial vehicle to provide payor agnostic value-based services and solutions to our Smart Network to drive enhanced performance and value-capture from improved care delivery.
Reporting to the SVP of VSO, the VP of Market Delivery will be directly responsible for the development, build, and management of all VSO capabilities, including care management, utilization management, policies and procedures, claims administration, population health data and analytics, value-based network and contracting, and performance reporting, among others. In the short term, this role will provide the operational and tactical leadership to execute on the strategic short and long-term plan for the VSO. In the long-term this role will evolve into oversight and management of the VSO’s clinical and operating performance.
Given the importance of this role to Bright Health Care, you will also work in close collaboration with BHC’s Chief Executive Officer, Chief Medical Officer, Chief Product Officer, and other leaders throughout Bright Health.

YOUR RESPONSIBILITIES

  • Responsible for design and implementation of a centralized VSO platform to support physician success in value-based and risk-based payment models and oversight of local implementation in strategic markets
  • Development of policies and procedures; cross-functional work to ensure regulatory and compliance needs are met at a national and state level
  • Evaluation and assessment of business needs, including buy/build/partner assessment for all key functions, including but not limited to: Care Management, Utilization Management, Claims Administration, Population Health Technology and Analytics Platform, Value- and Risk-Based Network Development and Contracting, Coding and Documentation
  • Supervises, coaches, and mentors staff and participates in recruiting key roles along with the SVP of VSO
  • Establishes performance metrics and goals for the VSO operations team
  • Oversees clinical, operational, and financial reporting to managed groups and IPAs
  • Drives clinical and operational alignment at the national and local level
  • Participates in business development activities as needed

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

  • A Bachelor’s Degree in business, healthcare administration, or a related field is required; MBA/MHA and/or clinical degree is preferred.
  • Minimum of 10 years of MSO operations experience, with at least 5 years in a national/regional management role required.
  • Experience in change management and process improvement required

SUPERVISORY RESPONSIBILITIES

  • This position will have supervisory responsibility of components of the VSO team.

PROFESSIONAL COMPETENCIES

  • Ability to excel in a matrix-ed environment
  • Strong clinical leadership skills to ensure trust and respect of clinical staff
  • Strong relationship development and management skills within the healthcare provider space
  • Results oriented, capable of clearly translating strategic objectives into implementable processes that drive outcomes
  • Success in driving organizational change and performance improvement
  • Excellent financial and organizational systems acumen
  • Strong collaboration skills to ensure effective alignment among diverse teams

ABOUT US
 
At Bright Health, we brought together the brightest minds from the health care industry and consumer technology and together we created Bright Health: a new, brighter approach to healthcare, built for individuals. Our plans are easy to manage, personalized and more affordable, giving people the quality care they deserve. Through our exclusive care partnerships with leading health systems in local communities we are reshaping how people and physicians achieve better health together.
 
We’re Making Healthcare Right. Together. 
We've won some fun awards like: Great Places to Work, Modern Healthcare, Forbes, etc. But more than anything, we're a group of people who are really dedicated to our mission in healthcare. Come join our growing team!
 
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
BRIGHT ON!

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Technology we use

  • Engineering
  • Product
    • .NETLanguages
    • C#Languages
    • JavascriptLanguages
    • PythonLanguages
    • SqlLanguages
    • PowerShellLanguages
    • D3JSLibraries
    • ReactLibraries
    • Node.jsFrameworks
    • MongoDBDatabases
    • TSQLDatabases
    • InVisionDesign
    • SketchDesign
    • Lucid ChartDesign
    • JIRAManagement
    • Microsoft ProjectManagement

Location

We are downtown at 515 Congress Avenue, right in the heart of downtown! Tons of restaurants and close to public transportation.

An Insider's view of Bright Health

What’s the vibe like in the office?

The office has a relaxed and laid back vibe but people are very serious about their work - perfect!

Anthony

Data Engineer

What does your typical day look like?

My day is so varied, given how quickly we're growing, which is fulfilling for me. I have a good balance of strategic and tactical work in my day as well as time to focus and time to collaborate.

Jen

VP, Digital

What makes someone successful on your team?

A hard-working team player who thinks first and codes next is likely to learn a lot and quickly become a valuable member of the team. Lots of experience with some of our tooling is always nice, but if someone can't knowledge-share well or responds poorly to code reviews and other requests for collaboration, it'll be a tough fit.

Brian

Software Engineer 3

How do your team's ideas influence the company's direction?

We hire smart individuals who thrive on accomplishment and purpose. Our teams are exposed to the bigger picture through constant communication and dialogues – that encourages them to come up with innovative solutions to problems. We've made significant adjustments on our direction in technology and process that were initiated by the team.

Abdullah

VP, Engineering

What are Bright Health Perks + Benefits

Bright Health Benefits Overview

We have 3 different health insurance plans, all through Cigna (HDP, Premium HDP and PPO). We cover the majority of the cost for the employee and some cost for family. We have two dental plans and a vision plan as well. We put 3% of your total earnings into your 401K plan and you are immediately vested in that. We have all the latest technology (Mac or Surface laptops – your choice) to use including standing desks. Fully stocked fridge with snacks and drinks.

Culture
Friends outside of work
Eat lunch together
Daily stand up
Open door policy
Team owned deliverables
Team based strategic planning
Pair programming
Open office floor plan
Diversity
Highly diverse management team
Mean gender pay gap below 10%
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Bright Health employees can contribute up to $3500 annually to their FSA.
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Onsite Gym
Retirement & Stock Options Benefits
401(K)
We will put 3% of your total earnings into your 401K plan, even if you don't put anything in. It's a safe harbor contribution.
401(K) Matching
Bright Health provides employees with a 401(k) plan managed by Vanguard. We provide a ‘safe harbor’ non-elective contribution equal to 3% of your compensation, regardless of participation in the p
Company Equity
Performance Bonus
Child Care & Parental Leave Benefits
Generous Parental Leave
We provide up to 6 weeks of parental leave for the primary caretaker. We also provide 2 weeks of leave for the secondary caretaker.
Flexible Work Schedule
Bright Health provides employees with a flexible work schedule that includes Core hours, Flexible start and end times.
Family Medical Leave
Employees who have been with the company for 12 months are eligible for 12 weeks of family medical leave.
Company sponsored family events
Bright Health sponsors family oriented events Annually.
Vacation & Time Off Benefits
Paid Holidays
Perks & Discounts
Casual Dress
Commuter Benefits
Stocked Kitchen
Happy Hours
Happy hours are hosted on occasion.
Fitness Subsidies
Bright Health employees are eligible for discounts on several gym memberships.
Professional Development Benefits
Promote from within
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