Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Evolenteers make a difference wherever they are, whether it is at a medical center, in the office, or while working from home across 48 states. We empower you to work from where you work best, which makes juggling careers, families, and social lives so much easier. Through our recognition programs, we also highlight employees who live our values, give back to our communities each year, and are champions for bringing their whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it.
About the Role
The Chief Clinical Officer (CCO) reports to the Chief Medical Officer. The CCO will be a valued member of our executive leadership team and will be interfacing with our President and other C-suite leaders regularly. As a foundational and values-centered senior leader, the CCO will be a critical force to shape and deliver on our mission.
The CCO will facilitate the delivery of high-quality, coordinated and efficient care across all business units with intent to achieve the quintuple aim. Specialty clinical leaders will report to the Chief Clinical Officer, with responsibility for specialty physician review strategy and policies designed to increase collaboration with physicians while minimizing abrasion. Core work can be divided into three domains: clinical integration and standardization, innovation in approaches to specialty care affordability, and advancement in patient impact and health equity In partnership with our CMO, the CCO will also represent Evolent externally with clients and prospects delivering our clinical point of view.
Clinical integration and standardization: Evolent successfully led three acquisitions in the last two years, with the intent to unlock more value for payers, improve experiences for providers, and enable better outcomes for patients, including a reduction in the financial burdens of health care. This has led to an expanded clinical workforce across multiple specialties (oncology, cardiology, radiology, physical medicine, etc.) with different platforms and approaches to clinical review as part of utilization management. The CCO will partner with our Chief Medical Officer and leadership to be a driving force to find best practices across the company, uncover synergies and efficiencies, and lead change management, with the ultimate goal of a high-performing, high-reliability, patient-and provider-centric, and joyful clinical organization. The CCO will be empowered to build their team to optimize the clinical organizational structure, by identifying and coaching internal talent as well as filling gaps where needed. The CCO will incorporate physician and health care workforce wellness in all decisions.
Innovation in specialty value-based care: The CCO will work to enhance existing clinical programs or support new ones in response to changes in the health care landscape, evolving real-world data, new drugs and indications, and regulatory shifts. The CCO will continue to refine the use of utilization management while also aggressively pursuing complementary levers. Examples of currently deployed clinical programs include site-of-care shifts, practice-facing alternative payment models and sub-capitation, learning collaboratives between Evolent and practice pharmacists, and advance care planning for patients with serious illness. The CCO will remain connected to up-to-date clinical trends, tap into internal and external subject matter experts, and continuously explore organic and inorganic growth to address total cost of care in the specialty space. The COO will help push the envelope on intersection of primary/specialty care by supporting the work we do with our primary care providers.
Patient impact and quality initiatives: The CCO will use the robust internal data available to research and publish on the impact of Evolent services on patient care, with an eye towards sub-group analysis, gap closure and health equity. Building upon the existing comprehensive health equity strategy, the CCO will also thoughtfully build new community partnerships in areas where there is an Evolent footprint to address upstream social drivers of health. The CCO should lead the vision for Evolent in this space in partnership with the CMO and key leaders, by leveraging prior work done with an understanding where the company sits in the health care ecosystem.
Desired Skill Set
- The ideal candidate will have a demonstrated record of accomplishment with, and commitment to, supporting the execution of population health, value-based care, clinical quality and clinical operation initiatives within a progressive and forward-thinking health care organization.
- Experience in health plan operations and/or managed care highly desirable.
- High level of financial acumen, with prior P&L responsibility preferred.
- Proficiency creating and leading presentations to key stakeholders inside and outside of the organization, including health plan executives, investors, physician groups and trade associations.
- Comfort and skill in leading and managing significant and fast-paced organizational change and clinical integration.
- A background in clinical informatics and/or technology.
- Demonstrated ability to engage, inspire and galvanize teams around mission and impact generally, and in the midst of business transformation.
- Growth mindset willing to test new interventions alongside other teams. · Authentic voice used to center patient and provider experience internally
- and externally.
- Ability to work as a utility player across growth, business development, financial and analytics teams, along with clinical workforce and operations.
- Ability to work within national coalitions to effectively advocate for payment reform and health equity at CMS/CMMI, within professional organizations and guilds, and across health plan partners.
Qualifications for the Role
- Candidates required to hold an MD, DO or equivalent degree with board certification in their specialty, licensed in at least one state and eligible for licensure in additional states as deemed necessary.
- MBA or MPH valued, but not required.
- 10+ years of clinical practice in direct patient care; recent clinical practice in the last 5 years preferred and ongoing practice welcome.
- 7+ years of leadership experience in a health care business environment, with demonstrated progressive responsibilities.
- Experience leading clinical teams in the past in a physician executive leadership role (such as a chief medical officer, chief quality officer, associate chief medical officer, vice president of medical affairs or the equivalent), and thus familiar with principles of clinical and regulatory compliance.
- The position is remote with travel expected 20%