Director, Medical Management Strategy

Company:

Oak Street Health
Title:

Director, Medical Management
Location:

Chicago, IL or Remote
Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patientsâ communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be.
For more information, visit www.oakstreethealth.com.
Role Description:
At Oak Street, Medical Management is focused on supporting high-quality, cost-effective care outside the four walls of primary care clinics. This involves a deep understanding of value-based care, specifically full-risk / capitated arrangements, along with the managed care levers available to drive superior clinical and financial results.
The Director, Medical Management will be instrumental in designing and implementing programs and interventions, targeted to the right patients, to improve quality and cost of care. They will be an effective cross-team leader, working side by side with Treehouse/corporate and field leaders and staff.
Content areas for the Director will include, but not be limited to, transitional care, delegated utilization management & care management, pharmacy and medication adherence, HEDIS / Stars, accurate risk adjustment, and clinical data integration. This will require building relationships with our clinicians, including primary care physicians, nurse practitioners, pharmacists, psychiatrists, registered nurses, licensed clinical social workers, and others.
This is a fast-paced, high visibility role to ensure that we are driving innovation and improvement rapidly and consistently within Oak Street Health and CVS Healthspireâs Risk Bearing Entity.
This role will report to the SVP, Medical Management, and reports up through the Healthcare Delivery organization at CVS Health. They will have two direct reports and will work closely with leaders across Oak Street Health, the Risk Bearing Entity, and the broader CVS enterprise.
Core Responsibilities:
Serve as strategic operations lead responsible for adapting, designing, and iterating on Oak Street Healthâs medical management infrastructure (i.e., transitional care, delegated services, social care, etc.) to support additional at-risk populations via the Risk Bearing Entity

Manage end-to-end operational and performance reporting, in close collaboration with Data, Product, and Medical Economics teams, to measure and monitor program impact

Own post-acute care program across Oak Street and Risk Bearing Entity, with direct accountability for post-acute costs and utilization, in partnership with medical and operational leaders

Work side by side with Oak Street, RBE, CVS leaders to ensure effective implementation of clinical and business priorities

Manage and support two direct reports to produce high-quality, error-free deliverables

Accountability to key medical management metrics, including quality measures, utilization measures, and financial measures

Other duties, as assigned

What are we looking for?
8-10 years of applicable experience in healthcare / population health / working with healthcare providers; or other similar fields

Ability to build the trust and confidence of a wide range of stakeholders

Strong leadership skills and strong influencing skills

Incredible level of organization and detail orientation

Analytical and data savvy. Ability to develop business cases, ROI analysis, and financial analysis

Someone who connects the dots between teams - a proactive communicator who puts individual projects into broader organizational objectives

Expert in MS Office, Google Apps, project management software

Pleasantly persistent approach

Humility

Quick learner comfortable with a high level of ambiguity

Graduate degree preferred but not required (MBA, MPH)

Bachelorâs degree required

Someone that embodies being Oaky

What does being Oaky look like?
Radiating positive energy

Assuming good intentions

Creating an unmatched patient experience

Driving clinical excellence

Taking ownership and delivering results

Being scrappy

Why Oak Street?

Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:
Collaborative and energetic culture

Fast-paced and innovative environment

Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.

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