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ACO Senior Payment Reform Analyst

4 months ago

Colchester VT United States The University of Vermont Health Network Full time

JOB DESCRIPTION:

The Senior Payment Reform Analyst (“Analyst”) is responsible for developing, operationalizing, maintaining, and monitoring the OneCare Vermont Accountable Care Organization payment reform initiatives. These initiatives include the statewide value-based contracts with payers as well as hospital fixed payment conversions, the Comprehensive Payment Reform program for independent primary care, and other payment reforms yet to be operationalized. The Analyst will work closely with the Director of Payment Reform and other OneCare finance and analytics team members to ensure payment reform programs run smoothly, unfavorable trends are observed and raised quickly, and the programs yield the intended results. Additionally, the Analyst will interface with network participants and payer representatives to further payment reform programs and ensure participant understanding. This role requires a high level of analytical, technical, and financial competency and the incumbent will contribute heavily to the success of the ACO and its payment reform programs.

Major areas of focus and accountabilities include:

  • Payment Reform Modeling and Support
  • Program Settlement Forecasting and Reporting
  • Program Performance Investigations and Analyses
  • Hospital Fixed Payment Modeling
  • Comprehensive Payment Reform Program Modeling
  • Performance Report Development
  • Periodic In-Depth Program Outcome Analyses

The position requires the ability to comprehend complex data models, deliver accurate outputs, healthcare cost drivers, and build strong relationships with other ACO teams. Strong financial, analytical and communication skills are required as is the ability to conduct oneself with tact, diplomacy, and discretion. This position facilitates the creation of a high value health care delivery system that meets the Quadruple Aim of optimizing health, controlling cost growth, improving patient experience of care, and improving provider satisfaction.

This is a hybrid/remote position.

EDUCATION:

Bachelor’s Degree in a business-related subject area required.  CPA and/or Master’s Degree in related discipline preferred.


EXPERIENCE:

5 years of health care financial management or ACO experience required. SQL coding experience strongly preferred.  Experience working within a complex and innovative environment is essential to this role.  Experience presenting financial/budget information desired.