SVP, Business Operations

Who we are

Evergreen Nephrology is a value-based care organization that partners with nephrologists to bring value-based care to people living with kidney disease. They are taking a patient-centric approach to holistic and comprehensive care by empowering individuals living with chronic kidney disease through shared and informed decision-making. By bringing together the full picture of a person’s conditions, nephrologists and the Evergreen care team can make more informed, comprehensive care plans that improve outcomes and quality of life.

With over 700 provider partners across 17 states, Evergreen is making personalized, nephrologist-led care the national standard for kidney care. Their interdisciplinary clinical resources, analytical insight and tools, and services to patients are best-in-class.

Who you are

You are passionate about creating a better healthcare journey and experience for people living with kidney disease. You are an empathetic, humble and highly conscientious leader that inspires, challenges, and elevates team performance. You are a decisive, results driven, self-starter who works with a sense of urgency and a bias toward action. You thrive on collaboration and can effectively gathers appropriate insights from peers and teams and incorporates relevant and critical inputs and subject matter expertise into plans, strategies and processes.

Your Role

As the SVP, Business Operations, for developing and oversight of business operations in support of value base care (VBC) performance execution by clinical and field operational teams.  This position requires close collaboration with teams across the organization, create space for innovation, ensure end to end implications of operations and impacts to staff, providers and patients

Primary Functions

• Lead P&L accountability for risk program business operations for programs including government and payer operations, ensuring close collaboration and coordination with field operations and clinical operations on executing these programs, as well as other centralized teams
• Oversight and coordination of business operations for Medicare Advantage, CKCC and other risk-based contracts, including P&L responsibilities with oversight of clinical and field operations, data and financial teams.
• Manage financial forecasting, utilization assumptions and budget processes to develop proforma by contract in close collaboration with finance team.
• Oversee and manage payer relationships, working closely with growth teams through implementation, acting as key contact for plan stakeholders
• Oversee the development of strategic plans, work plans and other initiatives to optimize contract value
• Ensure implementation of managed care contracts comply with regulatory requirements
• Work with individual team members on team/organizational performance initiatives. Coach and mentor team members on analytic, strategic and operations management for assigned tasks, technical issues and deliverables.
• Drive and manage overall provider and network engagement strategy, leveraging organization needs and desired outcomes as a critical input
• Oversee and manage the provider credentialing team and process
• Build and oversee the marketing function, including brand management, patient and partner-facing collateral management, and public relations management
• Evolve and manage practice transformation strategy and function including strategic components, refined practice transformation journey map, and supporting tools and resources to support that journey
• Support and manage overall change management model and initiative management for the organization to ensure appropriate level of change and evaluation of change effectiveness
• Identify process improvement/redesign opportunities, document, and redesign business processes as appropriate. Ensure policies and procedures are documented to support these efforts.

How you qualify

• You reviewed the Who You Are section of this job posting and immediately felt the need to read on. That makes you a match for our innovative culture.
• You accept that things change quickly in an early-stage environment and are willing to pivot rapidly on priorities.
• You align with Evergreen’s purpose, principles and practices, encapsulated in our Culture Code.
• Bachelor’s Degree in a business related field
• History in change management within a scaled healthcare services organization.
• You have 12+ years of relevant experience in the healthcare industry
• Deep understanding of clinical practice operations and areas to create efficiencies; experience in field operations a plus
• You are a proven leader with a high level of EQs skills; you effe