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Position SummaryAetna is recruiting for a Senior Manager, National Value Based Care (VBC) Development who will support innovative and strategic provider Medicaid relationships as part of the National VBC Business Development team.
$67,900 - $190,700Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Reporting into the Medical Value Liaison Field Director, the Senior Medical Value Liaison (MVL)/Executive MVL is a field-based role focused on applying clinical expertise and experience/knowledge of payors, health policy, payer utilization management, and pharmacoeconomics to strategically support Karuna's scientific strategy and business objectives.
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In addition to observing and documenting all patient encounters in real time, our Scribes become experts in our value-based care model and the documentation and care of chronic conditions, including ICD-10 and CPT coding.
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Maternity leave as well as paid bonding/primary caregiver leave or parental leave for the birth or adoption of a child or to care for an ill family member, as applicable (eligibility based on position.
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This position works under the supervision of the Executive Clinician and in collaboration with the Clinical Directors, Quality Manager and Revenue Cycle Team. This position leads and manages all activities related to population health management, including care coordination, care gap closure, pay for performance initiatives, and value-based care, etc.
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The successful candidate will lead the Division of Palliative Care within the Department of Family and Community Medicine at Sidney Kimmel Medical College of Thomas Jefferson University ; and will coordinate across Jefferson Health’s regions to support and promote high-value palliative care services including hospital consultation; skilled nursing facility consultations; and non-oncologic ambulatory, telehealth, home-based, and value-based palliative care.
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The Business Analytics Senior Advisor will be an individual contributor responsible for conducting advanced analytics supporting value-based care capabilities with Cigna/Evernorth Accountable Care. This role will be responsible for executing advanced reporting analytics around ACO/Risk Bearing Entity programs to help measure and evaluate the cost and quality of care of our members by our provider groups.
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Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care.
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Will gain exposure to assignments including value-based care program design, project management, clinical and non-clinical data analysis, and partner diligence. Value Based Care.
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Collaborate with Provider Contracting, Vendor Management, and Clinical Care Innovation teams to ensure contracts support value-based care objectives. Strong understanding of healthcare economics, value-based care, and vendor contract structures.
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Hybrid schedule with In-home, value-based care model. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.
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Our value-based cardiology care solutions help our physician partners thrive in the shift to value-based care. Additional care coordination responsibilities as requested and trained by the Provider and Director of Imaging Svcs.
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Through our Value Based Care approach, you and your patients thrive in our high-touch, relationship-centered model – something the traditional, FFS healthcare model cannot provide.
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Lead the strategic transformation toward value-based care models as our Practice Medical Director. Collaborate with executive leadership, clinical teams, and external stakeholders to develop and implement value-based care strategies that improve patient outcomes, reduce costs, and enhance the overall quality of care.
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Possessing working experience in Payer 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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value based care jobs in Bryn Mawr, PA
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