President & Chief Operating Officer

Company: DFW Healthcare MSO
Location: Carrollton
Posted on: September 12, 2023

Job Description:

Overview:

IntraCare is an employee and privately-owned company which is operating in the high growth Medicare Shared Savings Program (MSSP) and Medicare Advantage (MA) space. IntraCare is recruiting a President & Chief Operating Officer that can provide strategic leadership to help build an infrastructure that allows for scalability through human capital and systems/processes, drive continued growth and profitability, and increase return on equity. IntraCare has a ten-year, high-performance national level record which was # 1 in Texas for MSSP savings rate for performance years 2021 and 2022. Intracare is experiencing 300%++ growth in our employed and senior portfolios with expansion across multiple states. The company continues to operate with focus on speed, independence, and entrepreneurial spirit.

Company Background:

IntraCare, centrally located in the Dallas-Fort Worth metroplex, is expanding rapidly. IntraCare's remarkable journey began in January 2014 when Premier Patient Healthcare founded its accountable care organization (ACO) for Medicare Part A and Part B patients. In January 2016, IntraCare entered the MA product line of business. In January 2017, the company continued to grow and diversify its services, establishing the Premier Care Community MSSP ACO. These legacy portfolios enabled IntraCare to partner with over 350 affiliate primary care providers in Texas, Oklahoma, and Arizona. In December 2022, IntraCare further expanded its footprint by acquiring 9 primary care clinics employing more than 20 providers. As of August 2023, IntraCare employes over 40 providers and continues to seek partner physicians through acquisition.

Because of IntraCares' success in 2022, the company combined its legacy MSSP ACOs to form IntraCare Premier ACO, an Enhanced Medicare ACO.

Premier Care Community was named the #1 ACO in savings rates throughout the Dallas- Fort Worth Metroplex.
Premier Patient Healthcare was named top 14% amongst high performing ACOs in the country.

In July 2023, IntraCare partnered with ApolloMed (NASDAQ: AMEH), deploying our joint Value- Based Care (VBC) platforms enabling IntraCare providers to participate in the ACO REACH program. IntraCare is expected to reach 27 owned primary care clinics in early 2024 with 65 employed providers and more than 350 affiliate providers further expanding our MSSP and MA lives portfolio.

IntraCare is dedicated to expanding value-based services to all patient populations with an enhanced focus on senior members through Reach, MSSP, and MA offerings. Driven by a culture of innovation and a strong 'learning by doing' philosophy, IntraCare has piloted several robust programs such as:

Working with multiple Federally Qualified Health Centers (FQHC) for their senior Value-Based Care (VBC) path.

Creation of concierge patient service providing AI-backed, customized clinical support for patients enhancing their everyday life.
Creation of a concierge team member service with AI-backed customized support for business intelligence, dashboarding, research, and daily operations.
Building a technological and operational platform focusing on early detection, consultation, and appropriate migration of palliative care patients.

Integration of highly customized transport services to enhance visit frequency and remove barriers to care.

And many more

Vision Statement:

At IntraCare, we aspire to enhance the lives of our patients within our community. We envision a place where our community is met with compassion, dignity, and purpose, creating an atmosphere of understanding, and belonging.

Mission Statement:

Our mission is to deliver the highest-quality healthcare within the communities we serve. We provide personalized healthcare that nurtures well-being, promotes independence, and fosters connections. Through partnerships with healthcare providers and innovative approaches, we help to improve the overall quality of life of our patients.

Reports To:

Chief Executive Officer

Work Location:

Hybrid-Carrollton Texas, 75006

Job Overview:

IntraCare is seeking a President & Chief Operating Officer of a MSSP ACO and MA Full-Risk Organization with employed and affiliate Clinics

The President & Chief Operating Officer is responsible for overseeing the day-to-day operations, ensuring operational excellence, and driving the company's mission to deliver outstanding healthcare services to our patients. This role involves complete independence and leading the operations of both employed and affiliate clinics, with a strong emphasis on optimizing efficiency, improving patient care, and maintaining full compliance with Medicare and other regulations.

The President & Chief Operating Officer is part of the leadership team of IntraCare and serves as a single point of contact for all operations. The President & Chief Operating Officer will be responsible for ensuring operational success, customer service, program integrity, and business analytics. This leader will be accountable for KPI coordination, reporting and mediation strategies, process automation, and oversight of operational objectives.

The President & Chief Operating Officer must have a strong knowledge of and experience in managed care and provider networks. The position will have significant and regular contact with all internal and external stakeholders.

Collaborates across the enterprise to create and implement strategies to improve processes with seamless delivery of healthcare services to ensure service levels are optimized. Successfully execute change across a very complex business model and technical infrastructure. Hire, train, coach, counsel, and evaluate performance of direct reports.

Responsibilities and Duties:

1. Strategic Leadership:

Collaborate with executive leadership to develop and implement operational strategies.
Ensure alignment of operations with the company's mission, vision, and values.
Monitor and evaluate industry trends and advancements to identify growth opportunities and areas of improvement.

2. Operational Excellence:

Oversee the operations of all employed and affiliate clinics, ensuring consistency in processes and patient care delivery.

Identify, recommend, and implement best practices for operational efficiency.

Drive the continuous improvement of operational systems, processes, and best practices.

3. Risk Management:

Ensure full compliance with Medicare regulations and other relevant federal, state, and local laws.
Monitor the organization's risk-bearing arrangements and financial performance to ensure sustainability.

Develop and implement risk management strategies and mitigation plans.
Achieve the financial goals of the organization, including but not limited to medical loss ratio (MLR) and quality scores.

4. Relationship Management:

Foster strong relationships with internal stakeholders, participating provider, and other healthcare organizations.
Act as a key contact for external stakeholders, including regulatory bodies, insurers, and partner organizations.

5. Team Leadership:

Lead, mentor, and develop operational teams, promoting a culture of excellence and continuous learning.
Develop optimized staffing models to meet organizational needs while ensuring patient care is not compromised.

6. Performance Metrics and Reporting:

Establish and monitor key operational performance metrics.
Regularly report on operational performance to the CEO and board of directors.

7. Financial Management:

Oversee budget development and fiscal management to ensure the profitability of operations.
Identify opportunities for cost savings and revenue generation.
Responsible for budgetary performance.

8. Patient Care and Quality Assurance:

Ensure the delivery of high-quality patient care services.
Collaborate with clinical leadership to continuously improve patient satisfaction and outcomes.

9. Technology and Innovation:

Drive the integration of technology solutions to improve operational efficiency and patient care.
Stay updated on technological advancements relevant to Medicare Advantage and clinic operations.

Qualifications:

The ideal candidate for this position will be an experienced and respected healthcare services executive with a proven track record of growing a profitable, multi-site business in multiple states. Willing to work in a 'start-up culture', growing very fast and innovating. The successful candidate will be a strategic leader, operationally and market focused, with experience in clinic mergers and acquisitions, and experience with full-risk managed care organizations focusing on VBC initiatives.

Minimum of 7-10 years of senior leadership experience in healthcare operations.
Strong understanding of Medicare and MA regulations and compliance requirements.
Demonstrated experience in strategic planning and execution.
Proven ability to lead and develop high-performance teams.
Strong financial acumen with experience in budgeting, forecasting, and financial analysis.
Excellent interpersonal and communication skills
Superb problem-solving and decision-making capabilities
Proficiency in healthcare information systems and technology.

Education:

Bachelor's degree in Healthcare Administration, Business Administration, or related field. Master's degree preferred.

Physical Requirements:

While a mix of both travel and sedentary role, 50% travel to clinics and other company locations will be required.

Compensation: Healthy compensation package to include salary, performance-based company equity, performance-based bonus, and competitive be

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