Senior Director of Market Access leading payer strategies and advocacy for advanced wound care products. Shaping policy and driving evidence - based value propositions to enable patient care.
About the role
- Director of Post Acute managing performance and care solutions within healthcare. Leading data-driven improvements and collaboration across facilities and teams in the Boston region.
Responsibilities
- Implement and monitor data driven performance dashboards for Post-Acute Alliance reporting
- Regularly review, and report monthly, on the performance of Post-Acute Care Alliance providers through quarterly performance scorecards, ACO expenditure reports, claims data, and other reporting to drive performance within value-based payment models and risk-based contracts
- Identify performance gaps, highlight trends, and develop corrective action strategies to progress toward goals
- Provide regular report-outs to internal and external teams to allow visibility into post-acute performance
- Meet routinely with post-acute providers to enhance performance and facilitate the exchange of best practices
- Conduct sessions with each skilled nursing facility in the PAC alliance to maintain open lines of communication, confirm progress toward shared goals, pinpoint areas for improvement, and create action plans to support goal achievement
- Work across skilled nursing facility (SNF), home health partners, and internal stakeholders to advance clinical capabilities in the SNF Alliance, to care for an increasingly complex patient mix
- Lead a team of Post-Acute Care associates in delivering high-performance case management by improving proactive discharge planning timeliness ensuring compliance with care coordination standards across all skilled nursing facilities and post-acute care programs
- Ensure collaboration between PAC associates and key client partners —including Care at Home (Home Health), hospital care management, ambulatory care management, value-based care program leads, and health plans—to streamline processes, efficiently manage patients, and provide a coordinated approach to care delivery and outcome optimization
- Review performance metrics of non-alliance agencies/facilities evaluating performance opportunities
- Collaborate with the market leadership and other members of the executive and enterprise leadership team to achieve outcome measures through efficient communication across the care continuum
- Present and communicate post-acute strategy and performance to fellow leaders and executives
Requirements
- valid clinical licensure for Massachusetts in RN, SW, PT, or OT
- 5 years of strategy, operational, or clinical leadership in the post-acute industry
- Experience in operations or leadership within Skilled Nursing Facilities, Inpatient Rehabilitation, Home Health, and/or Hospice
- Proven experience in creating and executing data-driven performance improvements
- An understanding of healthcare economics and regulatory requirements governing skilled nursing/home health, BPCI A, MSSP/ACOs, CMS Waiver Programs
- Organizational skills, with an ability to prioritize multiple requests and deadlines
- Strong leadership, presentation, and communications skills to achieve buy-in and collaboration toward objectives
- Experience with Microsoft Office, Word, PowerPoint, Excel and Teams, plus other virtual conferencing platforms
- Must be in the Boston, MA area
- Travels up to 80% to facilities and locations within the Boston market
Benefits
- health insurance
- dental
- vision
- 401K with safe harbor contribution
- Paid Time Off plan starting at 2+ weeks
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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