Manager, Population Health VBP Operations - Somerset, NJ

Qualifications:

Required:

• Bachelors Degree required

• At least 5 years healthcare experience

• At least 2 years of management experience

• Must have a valid NJ driver's license

Preferred:

• 2 years of experience managing ACO

Essential Functions:

• This role involves developing, leading, and supporting various strategies, programs, and initiatives focused on value-based performance in risk-based settings and population health
• Key responsibilities include supporting RWJBH ACO operations, connecting value-based programs with quality reporting and management activities, participating in system-wide strategies for population health, and getting the organization ready to handle risk with a multi-payer ACO approach
• Support ACO Board and ACO committees by leading workgroups and strategic initiatives
• Oversee ACO programs, including performance monitoring, reporting, and compliance. Build and develop workplan to improve the ACO s utilization metrics (i.e. ER/K, IP/K, Avoidable ED), financial metrics/opportunities, quality improvement plan.
• Collaborate with clinical and administrative teams to effectively execute ACO initiatives. Prepare monthly report on the performance improvement and outcome of the initiatives.
• Oversee the payer roster communications and changes submission process for value-based contracts
• Conduct weekly and monthly meetings with government and commercial payers regarding program requirements and submissions of physician s records.
• Conduct monthly meetings with stakeholders within the RWJBH system; with an effort to improve our performance in ACO.
• Utilize government program portals to update and edit provider roster changes through the year
• Attend recurring calls with Medical Group and Joint Venture credentialing to ensure provider alignment in various contracts
• Prepare workflow and process of onboarding practices that join our Clinically Integrated Network.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time, with or without notice.

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short- & Long-Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts through our partners, such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer