Population Health and VBP Program Manager
When you come to work for CNY Family Care, you join the best family practice in Onondaga County.
Our commitment to service excellence sets us apart.
Our Cornerstones:
Patient-Centered Medical Home Excellence, Teamwork, Safety, Respect, and Professionalism, guide us as we provide care for our community.
As a part of those Cornerstones, it is especially important to us that we create a work environment where people feel welcomed, comfortable, valued for what they bring to the organization, and recognized for their contributions.
It goes beyond salary and benefits.
We work hard to develop an environment and culture that attracts top-quality talent.
That is what sets CNY Family Care apart.
Summary:
The Population Health and VBP Program Manager role supports the organization's commitment to value-based and patient-centered health care.
They are responsible for overseeing patient navigators and coordinating the workflow in the department working with payors and vendors to meet established quality measures for all value-based payment programs.
Duties and Responsibilities include the following.
Other duties may be assigned.
Responsible for all Value Based Payment opportunities and the potential financial benefits of meeting all requirements for each plan, on an annual basis.
Provides a summary of all VBP plans from a clinical perspective and requirements.
Reviews workload versus payment opportunity and analyzes with CEO and practice.
Responsible for the build in Medent (Practice Electronic Medical Record System), if required, and operationalizing registries in Medent to meet the needs of the practice.
Responsible for development of implementation program to include training of nursing staff and operationalizing quality metrics.
Responsible for identifying resources needed to implement selected VBP programs.
Provides monthly reporting to CEO regarding the current status of VBP programs being pursued in the practice.
Ensures AWV is completed for all eligible patients.
Develops practice workflows to insure success in the selected programs.
Participates in maintaining PCMH Level 3 certification for the practice, annually.
Works to achieve maximum success in Excellus ACQA quality metrics.
Captures 90% of all available reimbursement for VBP programs selected by the partners.
We offer an incredibly competitive compensation and benefits package, 401K after six months with up to 4% matching, an additional annual discretionary profit sharing contribution, as well as liberal paid time-off.
Health benefits available to all fulltime employees and coverage becomes effective the first of the month following your date of hire.
Tuition reimbursement is available for career-related education.
Free Parking, Free Lunches, Medical, Dental and Vision insurance available the first of the month following hire.
Closed major holidays, Enhanced Paid time off and Paid holidays after introductory period.
Desired
Experience:
1-4 years' experience of managed care, quality improvement and/ or provider contracting.
Extensive knowledge of HEDIS quality metrics, Star Ratings, Value Based Contracting.
Knowledge of value-based program strategies, cost of care initiatives, and performance analytics Knowledge of practice workflows, industry best practices, advanced value-based contract terms and settlement calculations Collaboration with internal and external stakeholders.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Requirements:
Bachelor's degree in a health-related field and work history in a health care setting.
Experience Requirements:
Relevant experience in health care, population health, care management, or related support role.
Excellent verbal/written communication, interpersonal, problem-solving, and critical thinking skills.
Proficiency in Microsoft Office (Excel, Access, Word).
Ability to work autonomously and adjust to changing needs as the role develops.
Computer Skills:
To perform this job successfully, an individual should have knowledge of Electronic Health Records programs, word processing software, spreadsheet software, and internet software.
PI227508634 Recommended Skills Calculations Clinical Works Communication Contract Management Critical Thinking Data Analysis Estimated Salary: $20 to $28 per hour based on qualifications.
Our commitment to service excellence sets us apart.
Our Cornerstones:
Patient-Centered Medical Home Excellence, Teamwork, Safety, Respect, and Professionalism, guide us as we provide care for our community.
As a part of those Cornerstones, it is especially important to us that we create a work environment where people feel welcomed, comfortable, valued for what they bring to the organization, and recognized for their contributions.
It goes beyond salary and benefits.
We work hard to develop an environment and culture that attracts top-quality talent.
That is what sets CNY Family Care apart.
Summary:
The Population Health and VBP Program Manager role supports the organization's commitment to value-based and patient-centered health care.
They are responsible for overseeing patient navigators and coordinating the workflow in the department working with payors and vendors to meet established quality measures for all value-based payment programs.
Duties and Responsibilities include the following.
Other duties may be assigned.
Responsible for all Value Based Payment opportunities and the potential financial benefits of meeting all requirements for each plan, on an annual basis.
Provides a summary of all VBP plans from a clinical perspective and requirements.
Reviews workload versus payment opportunity and analyzes with CEO and practice.
Responsible for the build in Medent (Practice Electronic Medical Record System), if required, and operationalizing registries in Medent to meet the needs of the practice.
Responsible for development of implementation program to include training of nursing staff and operationalizing quality metrics.
Responsible for identifying resources needed to implement selected VBP programs.
Provides monthly reporting to CEO regarding the current status of VBP programs being pursued in the practice.
Ensures AWV is completed for all eligible patients.
Develops practice workflows to insure success in the selected programs.
Participates in maintaining PCMH Level 3 certification for the practice, annually.
Works to achieve maximum success in Excellus ACQA quality metrics.
Captures 90% of all available reimbursement for VBP programs selected by the partners.
We offer an incredibly competitive compensation and benefits package, 401K after six months with up to 4% matching, an additional annual discretionary profit sharing contribution, as well as liberal paid time-off.
Health benefits available to all fulltime employees and coverage becomes effective the first of the month following your date of hire.
Tuition reimbursement is available for career-related education.
Free Parking, Free Lunches, Medical, Dental and Vision insurance available the first of the month following hire.
Closed major holidays, Enhanced Paid time off and Paid holidays after introductory period.
Desired
Experience:
1-4 years' experience of managed care, quality improvement and/ or provider contracting.
Extensive knowledge of HEDIS quality metrics, Star Ratings, Value Based Contracting.
Knowledge of value-based program strategies, cost of care initiatives, and performance analytics Knowledge of practice workflows, industry best practices, advanced value-based contract terms and settlement calculations Collaboration with internal and external stakeholders.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Requirements:
Bachelor's degree in a health-related field and work history in a health care setting.
Experience Requirements:
Relevant experience in health care, population health, care management, or related support role.
Excellent verbal/written communication, interpersonal, problem-solving, and critical thinking skills.
Proficiency in Microsoft Office (Excel, Access, Word).
Ability to work autonomously and adjust to changing needs as the role develops.
Computer Skills:
To perform this job successfully, an individual should have knowledge of Electronic Health Records programs, word processing software, spreadsheet software, and internet software.
PI227508634 Recommended Skills Calculations Clinical Works Communication Contract Management Critical Thinking Data Analysis Estimated Salary: $20 to $28 per hour based on qualifications.
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