JOB SUMMARY
The Value-Based Care Contract and Performance Manager, reporting to the Chief Analytics Officer, will serve as the primary point person between RIPCPC and a portfolio of health plans to manage all value-based care contracts, both governmental and private. This person will lead all processes related to contractual negotiations and deliverables, performance management, and governance and communications.
ESSENTIAL JOB FUNCTIONS
· Manage all aspects of relationships with individual health plans, including meeting management, collaboration opportunities, and governance and communications.
· Develop and manage project plan for contract negotiations and executions.
· Lead application process for government programs such as CMS Shared Savings Program.
· Track contract deliverables and overall performance and develop operational plan, in collaboration with management team, to address gaps and improve performance.
· Facilitate data and analytic requests through either the health plan or internal analytics team and summarize key points for leadership.
· Assist in financial modeling and validation of key contract terms.
Education and Experience:
· Bachelor's Degree in Business Administration, Finance, or related field.
· 5 years demonstrated experience working with value-based care contracts required.
· Experience with government programs such as CMS Shared Savings Program or other CMS Alternative Payment Models strongly preferred.
· Experience with performance management.
· ASA or FSA designation a plus.
Knowledge, Skills, and Abilities:
· Strong ability to drive consensus between various parties.
· Strong analytical skills.
· Excellent project management skills.
· Excellent written and verbal communication skills and interpersonal skills.
· Detail-oriented, self-motivated, and comfortable in ambiguity.
· Proficiency in using the Microsoft Office Suite.
PTO: 18 days per year (RIPCPC paid time off also includes 11 paid holidays that are separate from PTO)
Benefits: Medical, Dental, Vision, Health Reimbursement arrangement to reduce deductible liability, optional Health Savings Account (HSA), prescription drug coverage, company paid life insurance policy and option to elect for additional voluntary life insurance, long-term disability, 401k eligibility after 1 year of employment (employer contributions immediately vested once eligible and partaking in the plan).
WHAT RIPCPC DOES...
Rhode Island Primary Care Physicians Corporation (RIPCPC), is a multi-specialty Independent Practice Association (IPA) that has been implementing innovative quality improvement models since 1994. We are a population health management organization that focuses on improving outcomes for our physician members’ patients. Our dedication to improving the care delivery system is demonstrated through our commitment to the National Committee for Quality Assurance’s Patient-Centered Medical Home (PCMH) model. A patient centered approach to practicing medicine enhances quality, improves access and implements advanced care coordination strategies. RIPCPC has implemented more PCMH’s than any other organization in Rhode Island. In addition to the proliferation of the PCMH, our latest and most significant initiative is focused on shaping a virtually integrated health care system with Care New England. This joint venture has led to the creation of an Accountable Care Organization (ACO), Integra, Rhode Island’s first partnership between a physician organization and a hospital system. Integra’s unique ability to coordinate care system wide, enables us to deliver a care experience unmatched in Rhode Island. Our Mission: Deliver the highest quality of health care and the best patient experience in the State of Rhode Island.
Rhode Island Primary Care Physicians Corporation is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Effective October 1, 2021 all RIPCPC employees must be fully vaccinated for SARS CoV2 (COVID-19).
Job Type: Full-time
Pay: $110,000.00 - $120,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Health savings account
- Life insurance
- Paid jury duty
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Work Location: Hybrid remote in Cranston, RI 02920