Job Summary:
The Community 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 market
Review Alternative Payment Modelt (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 asses 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
Perform any other job duties as requested
Education and Experience:
Bachelor’s Degree in Business Administration, or related field or equivalent work experience is preferred
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
Competencies, Knowledge and Skills:
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
Licensure and Certification:
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
May be required to travel occasionally
Compensation Range:
$72,200.00 - $115,500.00CareSource 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 (hourly/salary):
SalaryOrganization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
This 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.
