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Value-Based Care Contract Program Manager

Job Details

Job Ref:
R0089095
Category:
Administration
Employment Type:
Full-Time
Health Care Partner:
University of Vermont Medical Center
Location:
40 IDX Dr, South Burlington, VT 05403
Department:
UVMHN – High Value Care
Job Type:
Regular
Primary Shift:
Day
Hours:
-
Hours per Week:
40
Weekend Needs:
None
Pay Rate:
$42.85 - $64.28 per hour

Leads operational management and execution of value-based contracts across government and commercial payer contracts. Evaluates and oversees contract development, coordination, execution and implementation of across government and commercial payer on value-based Care and Alternative Payment Programs, with a focus on their impact on the Medical Group and Partner Hospitals in New York and Vermont. Works with the payer policy analyst to develop policy impact statements.

Reports To: Vice President, Payer Strategy and Contracting

Key Responsibilities

Program Development and Contract Administration

· MSSP, ACO REACH, Medicaid VBC programs, employer-based VBC initiatives, and commercial value-based contracts.

· Evaluates and coordinates the contracting of mandatory Medicare programs

· Coordinate implementation of new value-based agreements.

· Maintain program governance and regulatory compliance.

Performance Management

· Support financial and quality performance.

Stakeholder Coordination

· Collaborate with population health, finance, analytics, and medical group leadership.

· Support clinical engagement around contract development and implementation.

Regulatory Monitoring

· Monitor federal and state-level policy changes.

· Assess operational and financial impacts of changing payment models.

· Coordinate required reporting activities.

Qualifications

· Bachelor's degree required; Master's preferred.

· 5+ years' experience in value-based care operations.

· Knowledge of CMS alternative payment models.

· Strong program management and performance improvement experience.

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