Chief Value Based Care Officer

Chief Value Based Care Officer

The Chief Value Based Care Officer holds a pivotal role within the Cone Health executive leadership team, reporting directly to the Chief Executive Officer, with primary responsibility for advancing the health system's value-based care and population health strategy. This role is accountable for strengthening clinical integration, improving health outcomes, enhancing the patient experience and reducing the total cost of care across Cone Health's service area. The EVP, Value-Based Care will also provide executive leadership to the population health and value-based care teams responsible for strategy execution and operational performance. The Chief Value Based Care Officer ensures adherence to operational standards for clinical care and the adoption of effective care models that support successful population health execution. Leveraging data, analytics and community partnerships, the role ensures deep integration across care delivery, payment models and community-based resources, and drives collaboration with finance and contracting teams to support value-based payment strategies. Also partners with the Chief Information Officer on value-based care data strategy, platforms and governance, and ensures the effective use of enabling technologies and digital capabilities to support performance and scalability. The Chief Value Based Care Officer is accountable for developing operational and capital budgets related to population health and clinical integration, and in fostering collaborative relationships that advance best practices in value-based care and support Cone Health's mission and long-term strategic objectives. The role serves as an enterprise enabler, aligning and integrating value-based care initiatives across divisions and service lines to ensure consistent execution and sustainable system-wide performance.

Essential Job Function:

• Collaborate with the CFO, COO, Chief Physician Executive, Chief Information Officer and Chief People & Culture Officer to establish strategic priorities for value-based care and population health, review performance metrics and ensure effective governance and oversight. Align with Risant Health and Kaiser Permanente leaders on shared priorities and best practices.
• Responsible for leading the population health and value-based care teams as well as HealthTeam Advantage, the system's Medicare Advantage plan, and Triad HealthCare Network, Cone Health's clinically integrated provider network.
• Accountable for value-based care outcomes measurement, including cost, quality and risk performance, and for external data partnerships with payers, ACOs and community providers.
• Drives Cone Health's transition from volume-based to value-based clinical and payment models, ensuring strategies are effective, scalable and financially sustainable across all patient populations and payers, including active involvement in negotiating, structuring and managing value-based contracts in partnership with finance and contracting teams. Also partners with the CIO to define and prioritize value-based care enabling technologies aligned with enterprise architecture.
• Accountable for the development and adoption of integrated care models and clinical protocols across employed and affiliated providers, partnering with physician leadership to improve population health outcomes, address disparities through data-driven interventions, and advance coordinated, value-driven care. Leverages EHR optimization, care coordination platforms, automation and digital patient engagement tools to support value-based care delivery.
• Accountable for ensuring population health strategies are deeply integrated with community-based resources by fostering partnerships with community organizations, public health agencies and social service providers to address social determinants of health and improve community-wide outcomes.
• Develops and manages operational and capital budgets related to population health and clinical integration, ensuring fiscal responsibility and long-term sustainability.
• Monitors financial and quality performance across commercial, Medicaid and other value-based payment arrangements and develop strategies to optimize outcomes and system-wide performance.
• Drives educational initiatives focused on value-based care and population health to strengthen capabilities across physicians, care teams and partners, and to enhance Cone Health's regional and national influence.
• Collaborates with Cone Health Medical Group to maximize quality outcomes and financial performance in risk-based arrangements and other population-based programs.

Education:

• Required: Master's degree in Health Administration, Business Administration or a related field, or Doctor of Medicine.

Experience:

• Required: 10 years Healthcare Administration.