Value-Based Care Contract Program Manager

Central Vermont Medical CenterSouth Burlington, VT
Onsite

About The Position

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.

Requirements

  • Bachelor's degree required
  • 5+ years' experience in value-based care operations.
  • Knowledge of CMS alternative payment models.
  • Strong program management and performance improvement experience.

Nice To Haves

  • Master's preferred.

Responsibilities

  • 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.
  • 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.
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