New Job Division Chair - Payment Innovation In Minnesota

Division Chair - Payment Innovation
Division Chair - Payment Innovation

Division Chair - Payment Innovation

Company : Mayo Clinic
Salary : Details not provided
Location : Minnesota

Full Description

Why Mayo Clinic
Mayo Clinic is the nation's best hospital (U.S. News & World Report, 2020-2021) and ranked #1 in more specialties than any other care provider. Our multi-disciplinary group practice focuses on providing high quality, compassionate medical care. We are the largest integrated, not-for-profit medical group practice in the world that brings together the best in patient care, groundbreaking research and innovative medical education. Our commitment to diversity is woven into the fabric of Mayo Clinic — we embrace these values as we serve our patients, employees, students, suppliers, and communities.

Mayo Clinic offers a variety of employee benefits. For additional information please visit Mayo Clinic Benefits. Eligibility may vary.

Position description
The Mayo Clinic is pleased to announce the recruitment for a Division Chair - Payment Innovation. This exciting opportunity is 100% remote within the United States.

The Division Chair - Payment Innovation is responsible for designing, analyzing, and optimizing Mayo Clinic’s strategies for value-based and alternative payment models from public and private payers. The Division Chair facilitates these efforts on an enterprise basis across and within sites, maintaining the payment reform roadmap for Mayo Clinic. The Division Chair recommends and supports a portfolio of payer programs where Mayo Clinic may assume accountability for plan-level financial performance, population-level cost and quality, risk on episode-level cost and outcomes, capitated payments for defined services, and/or significant value-based purchasing incentives or penalties on defined metrics. The Division Chair shall oversee efforts to financially model these programs, make recommendations on adoption, and directly support program management through standard and ad hoc analysis including identification of opportunities for improving value and risk-based performance. The Division Chair will maintain the portfolio of payment reform programs and efforts, assessing and recommending initiatives by payer segment and Mayo Clinic site to be included in a well-supported roadmap.

The Division Chair also serves as an internal expert and consultant on all elements related to alternative payment models, risk-based programs, and value-based strategies. This includes knowledge of national trends and models in payment reform, deep expertise on CMS/Medicare alternative payment models and value-based programs, and full command of the role of payment reform in commercial segments including fully-insured, self-funded employer plans, and Medicare Advantage. The Division Chair provides knowledge on the role of actuarial analysis of risk target methodologies, benefits design, member incentives and cost sharing, network design including narrow and tiered networks, patient attribution, keepage and leakage patterns, outlier and reinsurance protections, actuarial IBNR and runout/completion factors, and all other concepts relevant to risk-based program design and performance.

The Division Chair also holds a senior leadership and support role for Mayo Clinic’s Revenue Model Innovation (RMI) program. The RMI program is a structure of Physician and Practice engagement and multi-disciplinary stakeholder oversight groups guiding multiple domains of value-based strategy and operations.

The Division Chair also supports a wide range of strategic business and clinical initiatives involving innovation. These initiatives may involve design of new payment models to support Mayo Clinic service or site growth strategies, revenue modeling for innovations in care delivery, and supporting revenue pro formas involving diversified businesses and strategic partnerships. This may include assuming risk at a health plan level through joint ventures and start-ups.

Position Requirements
Position requires ten (10) years’ experience in health care, with at least five (5) years directly involved in value-based, alternative and/or risk-based payment models. Bachelor’s degree, preferably in a business-related field is required. An MBA, MHA or other relevant master’s degree will be highly preferred.

Direct experience with payment reform programs for both Medicare (including MSSP or a CMMI ACO model) and commercial payer populations is required. Experience directly supervising a team using a claims-based data warehouse for total-cost-of-care reporting and analysis is strongly preferred.

Additional Experience and/or Qualifications (Has Achieved Competency in the Following Areas, Job Knowledge and Additional Considerations):
Position requires broad knowledge of healthcare economics, health plan design, premium level financial models, and actuarial analysis. Position requires deep knowledge of provider reimbursement methods of all types and related incentive and risk models. Knowledge is required on FFS, value-based purchasing, capitation/sub-capitation, prospective and retrospective episode bundled payments, population-based total-cost-of-care models, and percent of premium programs. A command of healthcare financial, utilization and quality data analysis and reporting is required.

The role also requires strong communication and presentation skills, executive presence, and ability to be a self-starter as well as a team player. Successful candidates will be curious, creative, and entrepreneurial. The role’s span of responsibility and influence will require a high level of independent thinking and the ability to educate and advise executives on a regular basis as a subject matter expert. Must have ability to develop strong relationships with c-suite leadership, both physician and administrative.

Benefits eligible

Full Time


Site description
Mayo Clinic is located in the heart of downtown Rochester, Minnesota, a vibrant, friendly city that provides a highly livable environment for more than 34,000 Mayo staff and students. The city is consistently ranked among the best places to live in the United States because of its affordable cost of living, healthy lifestyle, excellent school systems and exceptionally high quality of life.

Natalie Brewster

As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.