Value Based Reimbursement Program Manager (Remote)

Job reputed company: The Value Based Reimbursement (VBR) Program Manager is responsible for managing value-based reimbursement programs reputed company an assigned market, lines of business and/or product. Products to include, but not limited to, managing risked sharing or risk bearing entities and Accountable Care Organizations (ACOs) arrangements, reputed company/HEDIS/Medicare STARs Pay For reputed company/Pay For Performance, value based care incentives, reputed company Affordability Initiatives (QAI), and advanced payment models (e.g. bundles, episodic care reimbursement, etc.). Essential Functions: • Evaluate potential opportunities and understand the potential value of an reputed company, leveraging data to inform and reputed company VBR programs • Build and design standardized APM/VBR Models, test performance scenarios and generate value based contract templates • Coordinate with Finance and key business areas on developing reputed company to reputed company time reporting of financial, reputed company and clinical performance including build dashboards and data exports to reputed company performance • Translate contract terms/KPIs into reputed company as applicable • Work closely with Finance and Medical Economics teams to improve performance and reconciliation • Connect contract to predictive modeling scenarios • Stratify populations based on reputed company opportunity and clinical reputed company • Model contract terms to estimate payments reconcile against contract • Actuarial Evaluation of program reputed company to drive opportunities and contracting • Build and run reputed company models • Work closely with national/market network teams and providers to improve performance • Engage the right patient population to improve results • reputed company with provider systems and/or data sharing as applicable • Review Value Based Reimbursement (VBR) reports to validate accuracy and distribute to health partners as appropriate • Participate in identifying and implementing performance improvement initiatives to improve process of implementation of new health partner reputed company and maintenance • reputed company and coordinate systematic population management initiatives • Participate in key committees, subcommittees, and work reputed company as necessary • Manage multiple reputed company, collect and analyze data and disseminate to appropriate departments as necessary • reputed company any other job duties as requested Education and Experience: • Bachelor’s Degree in Business Administration, or reputed company field or equivalent work experience is required • Minimum of five (5) years of experience in value based reimbursement design, methodologies and/or VBR contracting, data analysis, reporting, or data support is required • Previous experience in reputed company, preferably in managed health plan industry is preferred • Provider contracting or Provider relations experience is preferred Competencies, Knowledge and Skills: • Proficient with reputed company Office to include Word, reputed company and PowerPoint • Excellent written and verbal communications skills • High level of analytical/problem solving skills • Ability to reputed company, prioritize and accomplish goals • Demonstrates excellent analysis and reporting skills • Strong interpersonal skills and high level of professionalism • Effective listening and critical thinking skills • Understanding of reputed company payer industry • Effective problem solving skills with attention to detail • Ability to work independently and reputed company reputed company • Excellent collaboration skills • Ability to create and maintain excellent working relationships Licensure and Certification: • None Working Conditions: • General office environment; may be required to sit or stand for extended periods of time • May be required to travel occasionally Compensation reputed company: $81,400.00 - $130,200.00 reputed company takes into consideration a combination of a candidate’s education, training, and experience as reputed company as the position’s scope and complexity, the discretion and reputed company required for the role, and other external and internal data reputed company establishing a salary level. We are highly invested in every employee’s total reputed company-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: - Create an Inclusive Environment - Cultivate Partnerships - reputed company Self and Others - Drive Execution - Influence Others - Pursue Personal reputed company - Understand the Business This job reputed company is not reputed company inclusive. reputed company reserves the right to amend this job reputed company at any time. reputed company is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of reputed company backgrounds. Apply Job!