Title: Manager, Value Based Contract Operations
Reports to: Senior Director of Operations
Classification: Individual Contributor
Location: Boston
Job description revision number and date: V3.0; 6/20/2023

Organization Summary:
Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners.

Job Summary:
Under the direction of the Senior Director of Operations and in partnership with the Leadership Team and Federally Qualified Health Center (FQHC) partners, the Manager of Value Based Contract Operations is responsible for implementation and day-to-day maintenance of value-based contract operations. The Manager fosters strong internal and external relationships to ensure success in all risk contract operational functions. They must be innovative, comfortable with ambiguity, well-organized, and committed to moving quickly and collaboratively. The Manager must also have strong analytical skills and communicate clearly and succinctly in both written and verbal communication. In addition to ensuring value-based contract operational success, the manager is responsible for a wide range of contract related, logistical, and administrative duties, as well as successful day-to-day management of value-based contract operations. The Manager of Value Based Contract Operations works closely with the Senior Director of Operations, Medicare Performance, Compliance, and other teams to ensure operational and continuous improvement plans are in place.

Responsibilities:

• Leads and manage the implementation of new risk or value-based contracts
• Leads day-to-day maintenance, operations to ensure all needed systems and processes are in place to support the scope of value based contracts
• Ensure that all operating deadlines are met and that operations are in full compliance with value based contracts
• In collaboration with other departments, develops goals and manages the program based on industry knowledge, federal, state, and contractual regulations ensuring innovation, and compliance
• Organizes and supports implementation of benefit enhancements and other innovations in collaboration with additional departments
• Collaborates with internal staff to facilitate cross-departmental initiatives that ensure success in value-based contracts, including Clinical Operations, Quality, Risk, Analytics, Finance, National Strategy team, and others
• Leads and manages the internal and external meetings and workgroups as necessary
• In close collaboration with the Strategy and Finance team, steers and manages all initiatives related to value-based contract operations as identified through the Executive Team and associated management metrics, such as the Board Scorecard
• Collaborates with the Senior Director of Operations, other entities and staff to ensure comprehensive plans are in place while conducting continuous process evaluation and improvement
• Responds to regulatory requests, reviews, and distributes new requirements, including Newsletters, supports audits, and serves as a subject matter expert on risk contract
• Facilitates collaboration and establish strong lines of communication across all departments and externally with MassHealth, CMS, and other payers
• Provides additional support for Operations, Compliance, and other departments based on organizational needs including audits
• May require work-related travel
• Perform other job duties as assigned

Required Skills:

• Meticulous orientation to details and ability to handle multiple concurrent assignments
• Process-oriented with strong analytical abilities
• Excellent written and oral communications to a senior leader audience, including the ability to present complex situations in a clear and concise manner
• Strong project management skills
• Proven track record of facilitating diverse stakeholders toward shared recommendation

Desired Other Skills:

• Experience with risk/value-based contracts including, such as MassHealth ACO, MSSP and ACO REACH preferred
• Familiarity with Federally Qualified Health Centers
• Experience with anti-racism activities, and/or lived experience with racism is highly preferred

Qualifications:

• Degree in Healthcare Administration, Business, Public Health, or a related field preferred
• 3-5 years of professional healthcare experience strongly preferred
• Experience with Federally Qualified Health Centers preferred

** In compliance with Covid-19 Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **