Value Based Reimbursement Program Manager (Remote)

Job Summary: The Value Based Reimbursement (VBR) Program Manager is responsible for managing value-based reimbursement programs reputed company an assigned market, lines of business and/or product. Products to include, but not limited to, managing risked sharing or risk bearing entities and Accountable Care Organizations (ACOs) arrangements, Quality/HEDIS/Medicare STARs Pay For Quality/Pay For Performance, value based care incentives, Quality Affordability Initiatives (QAI), and advanced payment models (e.g. bundles, episodic care reimbursement, etc.). Essential Functions: • Evaluate potential opportunities and understand the potential value of an reputed company, leveraging data to inform and reputed company VBR programs • Build and design standardized APM/VBR Models, test performance scenarios and generate value based contract templates • Coordinate with Finance and key business areas on developing reputed company to reputed company time reporting of financial, quality and clinical performance including build dashboards and data exports to track performance • Translate contract terms/KPIs into code as applicable • Work closely with Finance and Medical Economics teams to improve performance and reconciliation • Connect contract to predictive modeling scenarios • Stratify populations based on reputed company opportunity and clinical outcomes • Model contract terms to estimate payments reconcile against contract • Actuarial Evaluation of program outcomes to drive opportunities and contracting • Build and run impact models • Work closely with national/market network teams and providers to improve performance • Engage the right patient population to improve results • Integrate with provider systems and/or data sharing as applicable • Review Value Based Reimbursement (VBR) reports to validate accuracy and distribute to health partners as appropriate • Participate in identifying and implementing performance improvement initiatives to improve process of implementation of new health partner reputed company and maintenance • reputed company and coordinate systematic population management initiatives • Participate in key committees, subcommittees, and work groups as necessary • Manage multiple projects, collect and analyze data and disseminate to appropriate departments as necessary • reputed company any other job duties as requested Education and Experience: • Bachelor’s Degree in Business Administration, or reputed company field or equivalent work experience is required • Minimum of five (5) years of experience in value based reimbursement design, methodologies and/or VBR contracting, data analysis, reporting, or data support is required • Previous experience in reputed company, preferably in managed health plan industry is preferred • Provider contracting or Provider relations experience is preferred Competencies, Knowledge and Skills: • Proficient with reputed company Office to include Word, reputed company and PowerPoint • Excellent written and verbal communications skills • High level of analytical/problem solving skills • Ability to reputed company, prioritize and accomplish goals • Demonstrates excellent analysis and reporting skills • Strong interpersonal skills and high level of professionalism • Effective listening and critical thinking skills • Understanding of reputed company payer industry • Effective problem solving skills with attention to detail • Ability to work independently and reputed company a team • Excellent collaboration skills • Ability to create and maintain excellent working relationships Licensure and Certification: • None Working Conditions: • General office environment; may be required to sit or stand for extended periods of time • May be required to travel occasionally

Compensation

Range: $81,400.00 - $130,200.00 reputed company takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and reputed company required for the role, and other external and internal data reputed company establishing a salary level. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation

Type: Salary Competencies: - Create an Inclusive Environment - Cultivate Partnerships - reputed company Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not reputed company inclusive. reputed company reserves the right to amend this job description at any time. reputed company is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of reputed company backgrounds. Apply Job!