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Health Partner Incentive Manager at CareSource

CareSource Dayton, OH

Job Description

Job Summary:The Health Partner Incentive Manager is responsible for managing value-based reimbursement programs within an assigned market or product. The Health Partner Incentive Manager will manage internal and external stakeholder priorities to ensure customized performance plans address the strategy and goals in a highly matrixed organization which will translate to increased Provider performance and efficiencies.Essential Functions:Ensure accurate and timely implementation of new Value Based health partner contracts for assigned marketReview Alternative Payment Modelt (APM) reports to validate accuracy and distribute scorecards to providers as appropriateOversee multidisciplinary implementation of complex reimbursement relationships within the assigned marketModel provider performance in proposed or current APM programs to show opportunity or value of programResponsible for the development of customized provider performance plans to support quality improvement activity and APM goals for key areas across the organizationMonitor and asses customized plans to identify any necessary changes or enhancements to quality or financial goalsParticipate in identifying and implementing performance improvement initiatives to improve process of implementation of new health partner contracts and maintenanceOversee and coordinate systematic population management initiativesWork with internal stakeholders and leadership to coordinate development of APM programsProvide insight and analysis to assist leadership in targeting providers for APM programsDevelop enhanced APM Program reporting for assigned marketContinually develop and enhance training and literature for internal and external usersParticipate in key committees, subcommittees, and work groups as necessaryDevelop and report on key accomplishments and issues to leadershipMeet with Providers, as needed, and answer any related questionsManage multiple projects, collect and analyze data and disseminate to appropriate departments as necessaryPerform any other job duties as requestedEducation and Experience:Bachelor's Degree in Business Administration, or related field or equivalent work experience is preferredMinimum of three (3) years of experience in data analysis, reporting, or data support is requiredPrevious experience in healthcare, preferably in managed health plan industry is preferredExperience in quality improvement is preferredCompetencies, Knowledge and Skills:Proficient with Microsoft Office to include Word, Excel and PowerPointQuality improvement process and analysis skillsExcellent written and verbal communications skillsDemonstrated ability in identifying problems, developing solutions and implementing effective courses of action.Ability to develop, prioritize and accomplish goalsAbility to work on multiple projectsStrong interpersonal skills and high level of professionalismEffective listening and critical thinking skillsEffective problem-solving skills with attention to detailAbility to work independently and within a teamExcellent leadership skillsAbility to create and maintain excellent working relationshipsLicensure and Certification:NoneWorking Conditions:General office environment; may be required to sit or stand for extended periods of timeMay be required to travel occasionallyCompensation Range:$70,800.00 - $113,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.Compensation Type:SalaryCompetencies:- Fostering a Collaborative Workplace Culture- Cultivate Partnerships- Develop Self and Others- Drive Execution- Influence Others- Pursue Personal Excellence- Understand the BusinessThis job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-TS1

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