Sr. Mgr, Contracting and Operational Excellence and Improvement at PediaTrust LLC

Northbrook, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

12 Aug, 26

Salary

150000.0

Posted On

14 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Contracting Strategy, Population Health Management, Value-Based Care, Process Improvement, Operational Excellence, Strategic Planning, Leadership Development, Financial Stewardship, Physician Management, Change Management, Performance Metrics, Contract Negotiation, Dyad Leadership Model, Succession Planning, Clinical Alignment, Data-Driven Decision Making

Industry

Medical Practices

Description

Description Contracting & Population Health Strategy Develop and implement contracting strategy to include clear ownership and governance; centralized contract infrastructure and ongoing payer portfolio review. Partner with the credentialing and finance departments to develop a standard review and reporting cadence to review effective payment versus contracted rates; net payment per visit; net vaccination margin; denial rates by category; days in A/R. Develop and maintain strong working partnerships with representatives from value-based contracted payors to support collaborative population health initiatives and performance improvement. Monitor emerging trends and changes in value-based reimbursement models and assess their potential impact on the organization. Advise senior leadership on strategic opportunities and operational implications related to value-based care programs, performance metrics, and contracting arrangements. Establish and oversee a centralized contract management process for tracking key components, financial performance and compliance across the PediaTrust payer portfolio. Establish and maintain a negotiation/renewal and management strategy for payer contracts both FFS/non value based and value based agreements. Process Improvement & Strategic Execution Champion a culture of continuous improvement, fostering innovation, accountability, and data-driven decision making across clinical and operational teams. Identify and prioritize opportunities to enhance operational efficiency, reduce costs, improve quality outcomes, and strengthen patient and clinician experience. Partner with clinical and operational leaders to align improvement initiatives with organizational priorities and evolving business needs. Identify a clinical strategy roadmap that aligns with mission, vision, and organizational priorities Operationalize a clinical leader meeting cadence or grand rounds to share pertinent clinical updates and workflow changes. Operational Excellence and Process Improvement Lead the design, development, and implementation of a development program to cultivate leadership competencies, management skills, and strategic thinking. Establish and support a physician management structure that promotes physician and administrative engagement in strategic decision-making, operational oversight, and quality improvement. Partner with the CEO and COO to facilitate leadership meetings and committees that strengthen clinical alignment with operations and organizational goals. Develop and operationalize a dyad leadership model, partnering physician leaders with administrative and operations leaders to drive collaborative decision-making, accountability, and operational excellence across service lines and practice sites. Provide coaching, mentorship, and leadership training to physician and operations’ leaders to strengthen competencies in communication, team leadership, operational management, financial stewardship, and quality improvement. Serve as a champion for quality and safety by modeling and reinforcing a culture of accountability, clinical excellence, and continuous improvement that optimizes medical care, patient experience, and organizational outcomes. In partnership with the CEO and COO, identify high-potential physicians and implement succession planning strategies to develop a pipeline of future physician leaders within the organization at the enterprise - level as well as at the local level (strategic business unit). Collaborate with the COO to refine and execute the organization’s strategic plan, translating strategic priorities into operational initiatives through leadership alignment, process development, and streamlined workflows. Operationalize standardization of employed clinician contracts, as well as implement audit and accountability mechanisms. ADDITIONAL JOB FUNCTIONS: Performs other duties as assigned. Requirements MINIMUM QUALIFICATIONS: To perform this position successfully, an individual must be able to perform each job duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. Required Education, Knowledge, Skills & Abilities: Minimum Bachelor’s degree; advanced degree preferred Proven track record of managing staff to their best potential, both in-person and remotely Strong organizational and communication skills Preferable background in healthcare or design Required Length & Type of Experience: Experience in managing complex, strategic projects Minimum of three to five years of experience in strategy, planning, and/or business operations Required Certification, Licenses, Registration: PHYSICAL/ENVIRONMENTAL DEMANDS: The characteristics listed below are representative of the physical and environmental demands required by an individual to successfully perform the essential duties of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. Some travel required Bending and Lifting Walking Exposure to infectious disease Exposure to biohazards and other hazardous materials WHO WE ARE We're Different PediaTrust is a united group of pediatric practices that serve Chicago-area families. Our practices take a unique approach to providing pediatric care: Our priority is you and taking the time to listen and earn your trust. It’s the kind of personal connection families don’t always find at large hospitals or corporate-owned medical groups. We believe there’s a better way - and it starts with being a trusted partner in keeping your kids healthy. Individualized Care Our doctors are empowered to provide your family with the individualized, personal care you’d expect from a small practice. We take the time to truly listen to your concerns, answer your questions, and provide the best care…because we want to be your pediatrician partners at every visit, for every child, at every stage. Advanced Care and Resources With 70 clinicians and growing across our practices, PediaTrust has the scale and the expertise to ensure your family has access to the latest technologies and specialties in pediatrics, all under the PediaTrust umbrella – including experts in nutrition and counseling for mental health. Working together, we offer you the best, most up-to-date care for your kids. We’re Close to Home PediaTrust has multiple locations in the Chicagoland area to serve you, and we offer extended hours at many of our locations for immediate care needs. Our Goal is Our Name At PediaTrust, we measure ourselves in one way: By earning the trust of each family who comes to us. And we work to keep that trust for each child, from birth to the beginning of a happy, healthy adulthood. Our Mission, Vision and Core Values PediaTrust has had a singular mission since our founding in 2012: To provide exceptional pediatric care based on the principles of compassion, collaboration, excellence, and trust. That mission supports our vision for PediaTrust to be the leading independent pediatric practice in the Chicagoland region. Clinical Excellence We are committed to providing patients with high-quality, evidence-based care. Collaboration We work together with mutual respect and a shared purpose. Compassion We ensure every interaction is grounded in empathy and kindness. NOTE: The above stated duties are intended to outline those functions typically performed by individuals assigned to this classification. This description of duties is not intended to be all-inclusive or to limit the discretionary authority of supervisors to assign other tasks of similar nature or level of responsibility.

Responsibilities

Develop and implement contracting strategies for payer portfolios and value-based care models to improve financial performance and population health. Lead operational excellence initiatives by cultivating leadership competencies and implementing a dyad leadership model to align clinical and administrative goals.