Job Summary:
The Community Health Partner Incentive Manager is responsible for managing value-based reimbursement programs within an assigned market or product. The Health Partner Incentive Manager will manage internal and external stakeholder priorities to ensure customized performance plans address the strategy and goals in a highly matrixed organization which will translate to increased Provider performance and efficiencies.
Essential Functions:
- Ensure accurate and timely implementation of new Value Based health partner contracts for assigned market
- Review Alternative Payment Modelt (APM) reports to validate accuracy and distribute scorecards to providers as appropriate
- Oversee multidisciplinary implementation of complex reimbursement relationships within the assigned market
- Model provider performance in proposed or current APM programs to show opportunity or value of program
- Responsible for the development of customized provider performance plans to support quality improvement activity and APM goals for key areas across the organization
- Monitor and asses customized plans to identify any necessary changes or enhancements to quality or financial goals
- Participate in identifying and implementing performance improvement initiatives to improve process of implementation of new health partner contracts and maintenance
- Oversee and coordinate systematic population management initiatives
- Work with internal stakeholders and leadership to coordinate development of APM programs
- Provide insight and analysis to assist leadership in targeting providers for APM programs
- Develop enhanced APM Program reporting for assigned market
- Continually develop and enhance training and literature for internal and external users
- Participate in key committees, subcommittees, and work groups as necessary
- Develop and report on key accomplishments and issues to leadership
- Meet with Providers, as needed, and answer any related questions
- Manage multiple projects, collect and analyze data and disseminate to appropriate departments as necessary
- Perform any other job duties as requested
Education and Experience:
- Bachelor’s Degree in Business Administration, or related field or equivalent work experience is preferred
- Minimum of three (3) years of experience in data analysis, reporting, or data support is required
- Previous experience in healthcare, preferably in managed health plan industry is preferred
- Experience in quality improvement is preferred
Competencies, Knowledge and Skills:
- Proficient with Microsoft Office to include Word, Excel and PowerPoint
- Quality improvement process and analysis skills
- Excellent written and verbal communications skills
- Demonstrated ability in identifying problems, developing solutions and implementing effective courses of action.
- Ability to develop, prioritize and accomplish goals
- Ability to work on multiple projects
- Strong interpersonal skills and high level of professionalism
- Effective listening and critical thinking skills
- Effective problem-solving skills with attention to detail
- Ability to work independently and within a team
- Excellent leadership skills
- Ability to create and maintain excellent working relationships
Licensure and Certification:
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:
$72,200.00 - $115,500.00
CareSource 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 latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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