Director, Clinical Integration Network Development

Open Date 10/11/2017
Division Tower Health Partners
Description

This position is responsible for the design, implementation, and maintenance of a comprehensive provider network aligning multiple physicians and hospital systems through a clinical integration strategy. The position works closely with internal and external stakeholders to execute the organization's network development and growth for key positioning to service broad value-based contract arrangements while maintaining best practice, quality improvement, and managing costs.

Responsibilities include:

  • Manages the development and growth of strategies for targeted regional network expansion

  • Oversees clinical integration alignment initiatives aimed at establishing a comprehensive provider network

  • Develops workflows and coordinates interdisciplinary services to streamline service offerings to community practices and hospital systems

  • Implements and maintains a comprehensive practice/alignment strategy among employed and community physician practices

  • Develops relationships with all affiliated hospitals and community practices to optimize growth and network impact on clinical integration initiatives

  • Oversees associated work plans around the physician network involvement in value-based contracting arrangements, including self-funded employers, government and commercial payors, and Joint Venture initiatives to ensure contracts adhere to regulations for clinically integrated organizations

  • Guide and participate in Provider Network, Credentialing, and Enrollment (PNCE) committee activities. Maintain active involvement in committee projects.

  • Supervise, direct, and oversee Network Liaison staff. Ensure responsibilities align with organizational goals and objectives.

  • Develop and support internal controls to be effective and compliant with current laws and regulations

  • Oversee network and provider communications develop material and provider communications to ensure material is effective and accurate and organize dissemination to providers.

  • Review and maintain provider participation contracts. Ensure compliance with CLIO policies and procedures

  • Provide support in evaluating opportunities to expand or change network needs to meet goals.

Position Requirements
  • Bachelor’s in health administration, business, or related field. Master’s preferred.

  • Experience in healthcare management or a health care field

  • Experience developing and implementing physician-based business development initiatives

  • Demonstrated ability to develop and maintain business relationships of trust and transparency with physicians.

  • Strong communication skills with a proven track record of success in a ‘value-based model’ health system. Demonstrated ability to articulate a compelling value proposition for physicians, employers, third party administrators, and other organizations.

  • Ability to work with administrative and medical staff, physicians, and community health providers. Strong verbal and written skills, communication and presentation skills, and interpersonal skills.

  • Ability to organize and plan work independently and collaboratively with a team.Establishes effective working relationships with staff and physicians. Project management (PM) experience a plus.

Full-Time/Part-Time Full-Time
Special Notes
About the Organization Tower Health is a strong, regional, integrated healthcare provider/payer system that offers leading-edge, compassionate healthcare and wellness services to a population of 2.5 million people. Together, our six hospitals and other entities provide a full range of medical care from prevention, screenings & education; to the latest clinical services and surgeries available; to rehabilitation. We also offer wellness programs & public health services that ensure our communities are the healthiest they can be. Our caring, highly trained physicians and staff are committed to patient safety and patient satisfaction.

With more than 11,000 team members, Tower Health includes Reading Hospital, a teaching hospital based in West Reading; Brandywine Hospital in Coatesville; Chestnut Hill Hospital, a teaching hospital in Philadelphia; Jennersville Hospital in West Grove; Phoenixville Hospital in Phoenixville; and Pottstown Hospital in Pottstown. We also operate Reading Hospital Rehabilitation at Wyomissing & Reading Hospital School of Health Sciences, & we have a comprehensive physician network.

Collaboration across Tower Health enables our hospitals, providers, leadership & staff to leverage best practices across the health system. Our hospitals have received national recognition for advanced care in areas such as neurosurgery and stroke, cardiac & vascular surgery, trauma, hematology & oncology. Reading HealthPlex, which opened at Reading Hospital in October 2016, combines state-of-the-art technology and world-class design to make the HealthPlex one of the most sophisticated surgical centers & inpatient facilities in the region.

At Tower Health, we have a rich history of providing high-quality, cost-effective care in the communities we serve. As the healthcare industry continues to change, one thing remains steadfast: Tower Health’s commitment to Advancing Health, Transforming Lives.
Hours Bi-Weekly 80

Reading Shift Day