What are the responsibilities and job description for the Value Based Care Manager position at Optima Medical?
About Optima:
Optima Medical is an Arizona-based medical group with 23 locations and over 90 medical providers across 7 counties. Committed to improving health outcomes for individuals and families, Optima serves more than 150,000 patients statewide.
Our mission is to enhance the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through a comprehensive care model focused on preventing the nation’s leading causes of death. Beyond primary care, we offer a full spectrum of services, including cardiovascular health, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services.
We are seeking a Value-Based Care Manager to lead our population health and value-based care initiatives. This role will oversee and support programs designed to improve patient outcomes while ensuring compliance with quality standards.
Responsibilities:
- Lead and oversee data collection and analysis efforts to close care gaps, improve diagnosis accuracy, and maintain STAR Ratings.
- Develop strategies and workflows to support care gap closures and enhance health plan incentive program outcomes.
- Manage relationships and coordinate meetings with health plan representatives, ensuring alignment with program goals.
- Supervise the use of provider portals to track and close care gaps.
- Attest to and ensure accuracy of patient diagnoses, including chronic and suspect conditions.
- Collaborate with the Director to drive population health program success and meet organizational goals.
- Prepare reports and dashboards for leadership to assess program performance.
- Provide mentorship and guidance to team members supporting value-based care initiatives.
Qualifications:
- 2 years of management experience in Value-Based Care, Population Health, Risk Adjustment, and/or Billing preferred.
- Proven proficiency in electronic health records (EHR), Microsoft Excel, and other relevant software.
- eCW experience is preferred.
- In-depth knowledge of HEDIS Quality Measures and STAR Ratings.
- Strong leadership, organizational, and problem-solving abilities.
- Exceptional written and verbal communication skills.
- Experience collaborating with cross-functional teams and managing multiple projects simultaneously.
- Solid understanding of healthcare regulations and compliance standards.
Why Join Our Team?
- Opportunities for career advancement and leadership growth.
- Comprehensive training, mentorship, and resources for professional development.
- Fun and engaging work environment, including events and holiday celebrations.
- Competitive benefits package, including medical, vision, dental, 401(k), PTO, and paid holidays.
- Supportive and positive workplace culture.
