Blueprint Payment Operation Administrator - Limited Service

State of Vermont • Waterbury, VT

20h • Onsite

About The Position

The Blueprint for Health was established to promote high-quality care that integrates advanced primary care, specialty care and community-based services to impact Vermonters' health and wellbeing. Advanced primary care encompasses prevention services as well as integration of care and services for people with complex health and social needs. Supported by multi-payer participation, the Blueprint has built a foundation of advanced primary care based on the Patient-Centered Medical Home (PCMH) model and bolstered by multi-disciplinary Community Health Teams (CHTs) that provide care coordination and linkages to services across the care continuum and in the community. Essential to the success of the PCMHs and CHTs is the clear articulation of standards, intervention, outcome measures and data analytics. This position is responsible for directing and supporting the administration of quality initiatives for the Blueprint Program, including work associated with the Rural Health Transformation (RHT) Project and helping to create a coordinated infrastructure to accelerate the modernization of the Vermont Blueprint for Health's Advanced Primary Care Model. The role ensures expert construction of quality measures, supports data-driven program evaluation, and serves as a key liaison between internal teams and external stakeholders. The position requires strong analytical skills, attention to detail, and the ability to communicate a wide variety of best practices related to advanced primary care standards, prevention guidelines, sub-specialty best practices and case management standards combined with experience translating complex data into actionable insights.

Requirements

• Master's degree in health care profession, public administration, business administration or related field AND three (3) years or more at a professional level where the duties included any combination of analytical work, professional report writing and payment administration.
• Bachelor's degree in public health, health care administration, health care profession, health and human services, business administration or related field AND five (5) years or more at a professional level where the duties included any combination of analytical work, professional report writing analytical work, professional report writing and payment administration.
• Candidates must pass any level of background investigation applicable to the position.

Nice To Haves

• A degree in Mathematics or Public or Business Administration

Responsibilities

• Support the administration of payments and quality initiatives for the Blueprint Program, ensuring accuracy, consistency, and compliance with program rules and policies.
• Communicate with field staff and community partners to gather, validate, and interpret program-related information.
• Extract, integrate, and transform data from multiple sources using appropriate data systems and tools; apply program rules and policy guidance to calculate provider payments and quality performance measures.
• Document methodologies, workflows, and processes related to quality reporting, datasets, and analytical tools to ensure transparency, reproducibility, and compliance.
• Develop and complete recurring data and narrative reports on quality metrics and program performance, supporting evaluation and continuous improvement efforts.
• Analyze program data, quality measures, and provider metrics in collaboration with the Blueprint Data Team to inform reporting and program improvement.
• Communicate payment and quality information to internal and external stakeholders, respond to inquiries, and maintain clear, consistent communication materials for program operations and data use across insurers, providers, field teams, and agency staff.

Benefits

• 80% State paid medical premium and a dental plan at no cost for employees and their families
• Work/Life balance: 11 paid holidays each year and a generous leave plan
• State Paid Family and Medical Leave Insurance (FMLI)
• Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
• Tuition Reimbursement
• Flexible spending healthcare and childcare reimbursement accounts
• Low cost group life insurance
• Incentive-based Wellness Program
• Qualified Employer for Public Service Student Loan Forgiveness Program

What This Job Offers

• Job Type: Full-time
• Career Level: Senior