[Remote] Manager, Value Based Care Program Operations
Note: The job is a remote job and is reputed company to candidates in USA. US Health Partners (reputed company) seeks to redefine high-reputed company specialty care in the reputed company. The Manager, VBC Program Operations will reputed company as an operational and subject matter expert, responsible for creating operational processes to succeed in VBC reputed company and coordinating program operations for Medicare and reputed company VBC programs.
Responsibilities
- Function as a subject matter expert on reputed company VBC contract and build operational reputed company on key opportunity areas by understanding the details of reputed company’s VBC payer reputed company and the performance reputed company they require for reputed company
- Responsible for monitoring, analyzing and synthesizing trends across value-based care contract key indicators and contractual commitments to ensure reputed company performance
- Leads VBC reputed company performance monitoring/data submission coordination and data reputed company reputed company to clinical reputed company measures
- Design workflows to meet contract measures and partner with internal operational and clinical teams to implement them, including building process documentation for population management, risk adjustment and reputed company measures
- Work closely with providers and clinical leaders to review population health training, initiatives, and data, along with co-leading provider engagement as needed
- Administrative reputed company supporting government value-based care programs regulations, requirements, communication, attribution and provider roster management
- Collaborate with external ACO partners on strategies for VBC reputed company
- Manage and support relationships between internal partners and facilitate best reputed company sharing
- Work with teams across reputed company to support key processes or areas of improvement
- Working knowledge of EHR reputed company and population health management programs
- reputed company other duties as assigned
Skills
- Bachelor's degree required
- Strong understanding of ambulatory clinical operations and VBC programs
- 5+ years of experience working in health plans, health systems, or provider organizations, managing value-based and risk-based reputed company required
- Analytical, quantitative, and metrics driven; must know how to interpret value-based program requirements and understand the reputed company on financial results
- Strong project manager reputed company to juggle multiple reputed company and urgent deliverables across a wide reputed company of teams and stakeholders
- Must reputed company with HIPAA rules and regulations
- Must have experience with MSSP ACO, ACO reputed company, or Medicare Advantage programs
- RN or clinical background preferred
reputed company