Value Based Programs Operations Specialist

4 weeks ago


Philadelphia, United States CareerBuilder Full time

Job Description

Job Description

Position Overview:
The Value Based Programs (VBP) Operations Specialist provides operational and program support needed to develop a value-based system of care across the CBH provider network; align and coordinate the department internally; and measure outcomes of the departments efforts, ultimately advancing the mission of the department.
Essential Functions :
Develop, implement, and maintain VBP communications strategy, including the development of written materials, annual reports for publication (ex. VBP Provider Profiles, VBP Model Summary), content and design of the VBP section of the Source and Provider Portal, and other VBP publications.
Track and ensure all VBP incentive payments and related documentation (provider letters, tracking spreadsheets) are completed timely.
Track and review data submissions related to Community Based Organization contracts.
Work closely with and in support of VBP Specialists in implementation and monitoring activities, reviewing provider performance, and monitoring VBP model outcomes.
Assist in the development and organization of VBP training materials and events.
Provide material preparation, meeting minutes, and logistical support for the VBP departments internal and Provider meetings, including monthly VBP Committee meetings.
Conduct research and provide summaries, resources, or reports upon request.
Serve as a liaison between the VBP Department and other departments within DBHIDS/CBH, such as Clinical Management/CMO, Quality Management, Contracts, Business Rules, Population Health, and Provider Operations.
Plan, research, develop, and implement special projects.
Analyze trends in VBP outcomes across the provider network to further inform departmental development (as well as demonstrate departmental progress).
Assist in evaluating and streamlining operations as the VBP Department continues to expand and develop.
Position Requirements:
Education: Bachelors degree in Social Work, Counseling, Psychology or other related field; or Project Management

degree/certification

and 3 years experience in a behavioral healthcare setting. Masters degree preferred.
License/Certification:

N/A
Relevant Work Experience: Minimum of 3 years operations support, program management, or program development experience, preferably within a mental health or substance use treatment setting.
Skills:

Understanding of managed care and behavioral healthcare delivery system and services.
Excellent administrative and organizational skills
Excellent research, analytical, and problem-solving skills
Ability to integrate data into program development
Ability to handle multiple assignments while meeting deadlines and quality expectations
Proficiency in the use of Microsoft Excel and Word
Excellent oral and written communication skills
Ability to prepare and summarize reports in a comprehensive and concise manner
Ability to work independently and as a part of a team
Compliant with HIPAA regulations

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