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Northern Light Health Department: Managed Care ContractingPosition is located: Cianchette Professional BldingWork Type: Full TimeHours Per Week: 40 hours weeklyWork Schedule: 7:30 AM to 5:00 PMSummary:The Director of Payer Strategy & Managed Care operations (PSMCO) oversees all aspects of payer contracting and relations with responsibility for the strategy, negotiation and execution of fee-for-service and value-based contracts for Northern Light Health and its subsidiary member organizations.
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Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country. We are nationally recognized for transforming healthcare through clinical innovations, quality improvement and a commitment to value-based care.
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You will be helping develop data products and key insights to support and scale a data-driven value-based care company. Our comprehensive care program takes a deeply personal, evidence-based approach to improving patient outcomes for joint, back, and muscle conditions.
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The healthcare data analytics team supports UTP quality initiatives, payer contracts, value-based care programs, revenue cycle and operations by delivering reporting and business intelligence solutions to the organization.
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Build, maintain and enhance reports and dashboards that provide insights on operations and value-based care programs. Oversee the research, evaluation, deployment and maintenance of revenue cycle, business analytics support systems and care delivery systems and tools.
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We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
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BHI is a data and analytics company and helping health plans, researchers, healthcare providers, employers, and government agencies use data to improve the health outcomes, promote value-based care, and address health equity and increase the value of care provided.
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Own the overall delivery of the Interoperability solutions, in close collaboration with cross functional partners like Analytics & Behavior Change, IT, Clinical Platforms, Utilization Management, Care Management, Value Based Care contracting, among others.
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These experiences range from efficiently analyzing and acting upon the operational health of hospital systems or entire nations of citizens to recommending tailored care plans for specific patients, thereby effectively managing chronic diseases and closing care gaps within a value-based care system.
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This position is accountable for: the financial performance of the organization's Value Based Care agreements, ensuring successful outcomes on clinical, efficiency, and cost metrics, management of population health data, and analytics.
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With Oracle Cerner's innovative technology, we seamlessly package this valuable information into a range of services and solutions that integrate seamlessly into your favorite analytics tools, EHR applications like Millennium, and new, groundbreaking applications.
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Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Come join a new era of comprehensive health analytics, where data-driven decision-making meets the power of innovation, all at your fingertips.
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The Manager, Value-Based Care Enrollment Strategy and Analytics, is a key member of this team responsible for understanding the key drivers of program growth and equipping operations leaders with the information necessary to achieve differential growth, with special focus on DaVita's Chronic Condition Special Needs Plan (C-SNP) portfolio.
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Required Qualifications: 5+ years of healthcare management consulting experience in medical group operations, revenue cycle, strategy, and/or value-based care. Our ideal candidate would have experience working with or in medical groups or other physician organizations (operations, revenue cycle, finance, accounting, analytics, etc.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Possessing working experience in Payer or Provider operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality Improvement, Informatics, ACO operations, etc.
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