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Program Manager II - Value-Based Performance
- Cleveland Clinic (Cleveland, OH)
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Join the Cleveland Clinic team where you will work alongside passionate caregivers and make a lasting, meaningful impact on patient care. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.
•Join our team as a Program Manager II in Value Based Performance, where you will manage implementation, performance, and maintenance of designated value based programs. You will act as a liaison between department and internal as well as external stakeholders. As part of the Cleveland Clinic's Value Based team, the Project Manager will help support value based contracting, implementation, program management, and performance management for value based contracts with commercial payors. The role is key to the development and implementation of initiatives and programs to support the CCHS value based strategy. This includes performing industry and regulatory that will be used to identify, evaluate, and develop recommendations to support value based contracting, planning, and execution
A caregiver in this position works remotely from 8:00AM - 5:00PM, with in-office meeting requirements. We are only considering candidates who reside in the Greater Northeast OH area!!
A caregiver who excels in this role will:
+ Develop, maintain, manage and implement operational systems and activities.
+ Serve as a liaison with all levels of Cleveland Clinic and the outside community.
+ Manage multiple projects and priorities.
+ Serve as a coach and mentor for other caregivers.
+ Allocates time to meet completion requirements. Serves as a coach and mentor for other positions in the department.
+ Review and monitor adherence to Human Resources policies and corporate compliance procedures.
+ Drive performance on value based contracts by driving joint payer and CC initiatives.
+ Develop and manage programs to ensure alternative payment contractual obligations, including care delivery, quality, financial and legal are met.
+ Partner across the enterprise to implement value-based contracts and drive value-based contract performance with cross-functional partners, including Enterprise Analytics, Strategy, Institutes, Hospitals and third parties.
+ Review contract performance against expectations and help guide future alternative payment model direction to strengthen our value proposition, improve our competitive position and meet goals and objectives.
+ Work in a team environment and partner within Market Network Services with Contract Managers to incorporate alternative payment models into health plan agreements.
+ Keep up to date on industry and patient/consumer trends within the Commercial Health Plans, Employer Health, State and Federal insurance industry.
+ Support development of strategic summaries, positioning documents and executive presentations that clearly and professionally communicate alternative payment model strategies for senior level audiences.
+ Analyze industry trends, patient/member needs and internal performance to deliver data-driven insights to support actionable strategic direction and prioritization.
+ Manage multiple priorities and projects with competing deadlines.
Minimum qualifications for the ideal future caregiver include:
+ Bachelor's degree in Business Administration, Healthcare Administration or related field.
+ Associate's degree and five years of experience may substitute the Bachelors degree requirement.
+ Master's degree and two year of experience may substitute for one year of experience.
+ Three years of experience in project management, data analysis and systems training.
Preferred qualifications for the ideal future caregiver include:
+ Healthcare experience
+ Knowledge of health care business basics, including physician practice workflows, provider billing, risk coding and payor contracting
+ Experience in quality and financial performance process improvement
+ Understanding of the fundamentals of patient-centered health care
+ Three years of value-based contract related experience
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/
Personal Protective Equipment:
+ Follows Standard Precautions using personal protective equipment as required for procedures.
Pay Range
Minimum hourly: $27.65
Maximum hourly: $42.17
The pay range displayed on this job posting reflects the anticipated range for new hires. While the pay range is displayed as an hourly rate, Cleveland Clinic recruiters will clarify whether the compensation is hourly or salary. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision and retirement.
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
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