EH
Elevance HealthSenior Portfolio Manager
Portfolio Manager Senior overseeing complex project portfolios, ensuring alignment with budget objectives and operational goals at Elevance Health.
About the role
- The Health Partner Incentive Manager is responsible for managing value-based reimbursement programs within an assigned market or product
- Ensure accurate and timely implementation of new Value Based health partner contracts for assigned market
- Review Alternative Payment Model (APM) reports to validate accuracy and distribute scorecards to providers as appropriate
- Oversee multidisciplinary implementation of complex reimbursement relationships within the assigned market
- Model provider performance in proposed or current APM programs to show opportunity or value of program
- Responsible for the development of customized provider performance plans to support quality improvement activity and APM goals for key areas across the organization
- Monitor and assess customized plans to identify any necessary changes or enhancements to quality or financial goals
- Participate in identifying and implementing performance improvement initiatives to improve process of implementation of new health partner contracts and maintenance
- Oversee and coordinate systematic population management initiatives
- Work with internal stakeholders and leadership to coordinate development of APM programs
- Provide insight and analysis to assist leadership in targeting providers for APM programs
- Develop enhanced APM Program reporting for assigned market
- Continually develop and enhance training and literature for internal and external users
- Participate in key committees, subcommittees, and work groups as necessary
- Develop and report on key accomplishments and issues to leadership
- Meet with Providers, as needed, and answer any related questions
- Manage multiple projects, collect and analyze data and disseminate to appropriate departments as necessary.
Requirements
- Bachelor’s Degree in Business Administration, or related field or equivalent work experience
- Minimum of three (3) years of experience in data analysis, reporting, or data support is required
- Previous experience in healthcare, preferably in managed health plan industry is preferred
- Experience in quality improvement is preferred
- Proficient with Microsoft Office to include Word, Excel and PowerPoint
- Quality improvement process and analysis skills
- Excellent written and verbal communications skills
- Demonstrated ability in identifying problems, developing solutions and implementing effective courses of action
- Ability to develop, prioritize and accomplish goals
- Ability to work on multiple projects
- Strong interpersonal skills and high level of professionalism
- Effective listening and critical thinking skills
- Effective problem-solving skills with attention to detail
- Ability to work independently and within a team
- Excellent leadership skills
- Ability to create and maintain excellent working relationships.
Benefits
- health insurance
- retirement plans
- paid time off
- flexible work arrangements
- professional development
- bonuses
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