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Value Based Contract Manager
4 months ago
As part of a multi-disciplinary team, the Value-Based Contract Manager is primarily responsible for the implementation, operational support and performance of Equality Health Network’s (EHN) value-based contracts and will work across the organization on the design, monitoring and continuous improvement of the processes that support value-based care. This individual will collaborate with EHN market teams to integrate analytic, ancillary and operations capabilities to manage patient populations against improvements in the 'quadruple aim' of healthcare – better outcomes, lower cost and an improved patient and clinician experience.
Value-Based Contract Manager Responsibilities:
- Collaborate with management and operations team members to develop strategic, operational, and technological solutions for improving quality, while reducing the cost of care delivered.
- Coordinate with growth teams to ensure consistent and coordinated transition of workstreams.
- Manage and maintain operational status dashboards and logs for the organization related to payer contracts, partnerships and value-based agreements.
- Oversee day-to-day operational payer activity under EHN’s value-based agreements and partnerships; own the process of monitoring performance in value-based contracts across multiple payers.
- Run operational policies and procedures related to EHN market operations and services.
- Drive an optimal partnership experience and collaborate with payer partners.
- Ensure satisfaction, communication and engagement with all payer partners.
- Advance workflows to support the organization in meeting or exceeding its duties under agreements, as well as financial and quality goals/metrics.
- Monitor performance across operational areas, and identify improvement opportunities to drive strong performance under value-based contracts.
- Collaborate with payer partners to participate in the design and implementation of technologies and processes.
- Operationalize strategies and initiatives around provider network, analytics, IT, contract performance, finance and any compliance/legal requirements.
- Communicate internally and externally about the status of operations and identify issues that may impact the contract performance.
- Establish and maintain positive and effective work relationships with a diverse network of administrative leadership and staff.
- Act as the point of contact for day to day operations.
- Responsible for preparation and planning of Joint Operating Committee meetings with payer partners.
*Hybrid opportunity in Phoenix, AZ
Required Knowledge, Education & Experience:
- Bachelor’s degree in Healthcare Administration, Business, or a related field of study; or, an equivalent combination of education and/or experience
- Minimum of four (4) years of work experience in a directly related role in the healthcare industry; experience should include responsibility for value-based contracting /operations
- Project Management skills
- Experience with or knowledge of payer data files and healthcare standard file sets
- Proven decision-making skills and demonstrated success working with and across diverse partner groups to achieve desired outcomes
- Excellent verbal, written and interpersonal communication skills; highly collaborative team approach to work
- Successful record of managing multiple projects with demonstrated ability to work independently in rapidly-changing environments
- Proficiency with Microsoft Office applications and web-based technologies
Highly Preferred Skills, Abilities & Qualifications:
- Value-based contracting experience with the ability to validate data directly tied to population health and value-based care
- Direct experience working with and partnering with physicians on change management initiatives
- Demonstrated leadership ability and skills in critical thinking, strategic planning, analysis and systems thinking
- A high tolerance for ambiguity, a service orientation, and a high level of humility for successful assimilation in our highly collaborative, entrepreneurial culture
- Ability to gain credibility and establish the required relationships to influence and generate results; can quickly organize and influence teams to execute and deliver results
- Comprehensive knowledge and understanding of healthcare financial and operational data and reporting, as well as healthcare technology
Equality Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
