Lumeris VP, Market Operations in United States

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Position:

VP, Market Operations

Position Summary:

Lumeris™ serves as a long-term operating partner for organizations that are committed to the transition from volume- to value-based care and delivering extraordinary clinical and financial outcomes. Lumeris enables clients to profitably achieve greater results through proven playbooks based on collaboration, transparent data and innovative engagement methodologies. Lumeris offers comprehensive services for managing all types of populations, including launching new Medicare Advantage Health Plans, Commercial and Government Health Plan Optimization, and Multi-Payer, Multi-Population Health Services Organizations (PHSOs) for provider organizations. Currently, Lumeris is engaged with health systems, provider alliances and payers representing tens of millions of lives moving to value-based care.

Over the past five years, we have tripled in size to more than 800 employees and built the only solution on the market with proven results. Case in point in 2015, Essence Healthcare, a long-standing Lumeris client, was awarded the highest rating available from the Centers for Medicare and Medicaid Services (CMS), 5-Stars, for the quality of services it delivers to its Medicare Advantage (MA) members. Essence was Lumeris’ pioneer client and has been leveraging Lumeris for more than a decade to operate its Medicare Advantage plans, which serve upward of 60,000 Medicare beneficiaries in various counties throughout Missouri and southern Illinois.

In early 2016, Lumeris was named the Best in KLAS value-based care managed services provider in the area of client-reported impact on the Triple Aim by KLAS Research. As the industry’s most reliable and effective partner for developing population health management solutions, our success is driving tremendous growth in our company. Join us today in making a real difference in how healthcare is delivered!

Why Join Lumeris?

At Lumeris you will be part of team that is focused on solving a national healthcare problem. And you will have the ability to contribute while working for a purpose. Our environment is fast-paced and change oriented and is focused on growth and employee engagement. At Lumeris we believe talent is utilized best when given the opportunity to succeed. That is why we have removed the boundaries that inhibit success and focus on fostering an environment that allows employees to utilize their talents.

Job Description:

  • Provide leadership and accountability for performance and results of Population Health Services Organization (PHSO) operating partnerships with health systems, payors and providers in a given market

  • Provides leadership by driving the performance and results of diverse functions through multiple layers of management

  • Lead matrixed teams of operators, clinicians, technologists, and program managers

  • Partner closely with client account leadership to ensure seamless interface to customers

  • Work closely with quality and clinical leadership to identify and prioritize key clinical measures and initiatives and then provide support to execute against these priorities

  • Lead efforts for reporting out metrics and operational performance dashboards for customer executives

  • Collaborate across stakeholders to ensure an effective strategy is identified for customers

  • Define and implement contingency planning activities and scenarios to ensure service excellence

  • Provide guidance and leadership to produce positive results for complex deliverables surrounded by ambiguity

  • Identify opportunities to streamline, reengineer, simplify and improve upon the customer experience

  • Identify opportunities to deepen customer relationships

Benefits

In addition to competitive salaries, challenging work assignments, and developmental opportunities, Lumeris offers employees a comprehensive benefits package to include medical, dental, vision, life insurance, short-term and long-term disability, paid time off (PTO), matching 401K, and tuition assistance.

  • Bachelor’s Degree required; MBA ,Masters in Health Administration, or similar degree preferred

  • 10+ years experience working in cross functional matrixed organizations

  • 5+ years of experience leading and managing a health care delivery system business; preferably managed care and/or Medicare Advantage

  • Experience managing IPAs and/or working with physicians and hospitals

  • Highly polished verbal and written communication abilities, evidenced by a track record of effectively communicating within the C-Suite (internally and externally)

  • Expert collaborator and facilitator

  • Demonstrated strategic and consultative approach to creating solutions and engaging with partners (including and especially C-Suite executives)

  • Proven ability to successfully build and cultivate excellent long-term relationships

  • Demonstrated ability to prioritize and multi-task in order to deliver results within short timeframes

  • Experience should include in-depth, hands-on exposure in dealing with multiple constituents and customers, including negotiations of contracts, and execution of local growth strategies

For more information on Lumeris careers and to apply for positions, please check out our web site: www.lumeris.com/careers

Lumeris is an EEO/AA employer M/F/V/D.

To stay connected with exciting news and the latest job opportunities from Lumeris, follow us on Twitter: @LumerisJobs.

Benefits:

In addition to competitive salaries, challenging work assignments, and developmental opportunities, Lumeris offers employees a comprehensive benefits package to include medical, dental, vision, life insurance, short-term and long-term disability, paid time off (PTO), matching 401K, and tuition assistance.

For more information on Lumeris careers and to apply for positions, please check out our web site: www.lumeris.com/careers

Lumeris is an EEO/AA employer M/F/V/D.

To stay connected with exciting news and the latest job opportunities from Lumeris, follow us on Twitter: @LumerisJobs.

Location:

Remote - FL

Time Type:

Full time

Status:

1 - FT

Join Our Growing Team!

Lumeris serves as a long-term operating partner for organizations that are committed to the transition from volume- to value-based care and delivering extraordinary clinical and financial outcomes. Lumeris enables clients to profitably achieve greater results through proven playbooks based on collaboration, transparent data and innovative engagement methodologies. Lumeris offers comprehensive services for managing all types of populations, including launching new Medicare Advantage Health Plans, Commercial and Government Health Plan Optimization, and Multi-Payer, Multi-Population Health Services Organizations (PHSOs). Currently, Lumeris is engaged with health systems, provider alliances and payers representing tens of millions of lives moving to value-based care.

Over the past seven years, we have tripled in size to more than 800 employees and built the only solution on the market with our proven outcomes. For the past six years, Essence Healthcare, a long-standing Lumeris client, has received 4.5 Stars or higher from the Centers for Medicare and Medicaid Services (CMS). Essence Healthcare was Lumeris’ pioneer client and has been leveraging Lumeris for more than a decade to operate its Medicare Advantage plans, which serve more than 60,000 Medicare beneficiaries in various counties throughout Missouri and southern Illinois.

In 2017, Lumeris was named Best in KLAS for Value-Based Care Managed Services in the area of client-reported impact on the Triple Aim by KLAS Research. This was the second year in a row Lumeris received the award, and the only two years it has been given. As the industry’s most reliable and effective partner for developing population health management solutions, our success is driving tremendous growth in our company. Join us today in making a real difference in how healthcare is delivered!

Why Join Lumeris?

At Lumeris, you will be part of team that is focused on solving the nation’s healthcare problem, and you will be able to contribute to our purpose. Our environment is fast-paced, change-oriented and focused on growth and employee engagement. At Lumeris, we know that talent is best utilized when given the opportunity to succeed. That is why we have removed the boundaries that inhibit success and focus on fostering an environment that allows employees to utilize their talents.