Hybrid Health Partner Incentive Manager

at CareSource

• Job title: Health Partner Incentive Manager
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $70,800 - $113,200 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Dayton, United States

About the role

• Health Partner Incentive Manager responsible for managing value-based reimbursement programs. Overseeing performance plans and coordinating with stakeholders to enhance provider performance and efficiencies.

Responsibilities

• 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