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Solutionhealth -Sr Value Based Reimbursement Specialist - ACO - Full Time

3 months ago

Nashua New Hampshire, Hillsborough County, NH, United States Solution Health Full time

Come work at the best place to give and receive care

​Job Description:

Who We Are:

Our Solutionhealth team is a unified, motivated, and exciting department who are very enthusiastic about the work we do We are looking for a dedicated professional to join our team who is detail orientated, hardworking, and willing to lend a hand when needed. If this is you, please come join our family.

About the Job:

The Senior Value Based Reimbursement Specialist is responsible for the evaluation, accuracy, modeling, and communication of value-based care (VBC) contract performance. This includes understanding each contract, levers for financial performance, settlements and confidence in the data that supports analysis and forecasts.

What You’ll Do:

  • Develop and maintain current financial models to support each value-based care contract
  • Develop documentation to support models and share accordingly
  • Develop dashboards to support visibility and inform strategy
  • Develop quarterly reports highlighting VBC activity, trends, and comparisons across product types, highlighting opportunities
  • Develop models to support future VBC contract considerations
  • Leverage data through our payer partner portals to inform outcomes and trends
  • Analyze data trends, recommending opportunities for improvement
  • Track, process and analyze value-based payments
  • Manage value-based contract intake process

Who You Are:

  • Bachelor’s degree, Required
  • 5 years of progressive healthcare experience, Required
    • (Financial Analyst, data analyst, or payer contracting)
  • Tableau certified, Preferred
  • Epic experience, Preferred

Why You’ll Love Us:

  • Health, dental, prescription, and vision coverage for full-time & part-time employees
  • Short term, long term disability, Accident insurance, & life insurance
  • Tuition Reimbursement
  • Referral bonuses
  • Accrued earned time for full-time & part-time employees
  • 403b Retirement plans, with generous employer contributions
  • And more

#CRM

Work Shift:

Hybrid - 8:30AM - 5:00PM

SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.