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  • Advisor, Value Based Contracts

    OhioHealth (Columbus, OH)



    Apply Now

    **We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

    Job Description Summary:

    The Advisor, Value Based Contract Operations is charged with the daily management of value-based contracts for OhioHealth and the OhioHealth Clinically Integrated Network. This includes the OhioHealth Clinically Integrated Network (CIN) Medicare Advantage and Commercial contracts, OhioHealth Venture Medicare Shared Savings Program Accountable Care Organization (ACO), CMS Bundled Payments for Care Improvement initiative, CMS Radiation Oncology Model, Medicaid contracts, and other initiatives as they arise.

    Responsibilities And Duties:

    70%: Participation in initiating, planning and leading multiple teams to describe and improve value-based contract / program performance by:

    Distilling value-based contract terms and programs into actionable, measurable targets

     

    Coordinating activities to propose goals and activities to improve performance across all programs and contracts.

     

    Developing processes for articulating goals, tracking performance and projecting impact on programs and contracts are sustainable, repeatable, and transparent.

     

    Develops, coordinates, evaluates, or implements program performance continuous improvement initiatives

     

    May direct data collection, analyses, and interpretation of analyses for program planning purposes

     

    Engage stakeholders to improve clinical care processes

     

    Promotes working relationships with other interdependent OhioHealth departments

     

    Participates in strategic planning

     

    Works collaboratively with leadership to achieve organizational goals

     

    20%: Leadership

     

    Works with direct report(s), if applicable, to develop and execute accountabilities and goals for professional development

     

    Promotes department and system-wide diversity and inclusion goals and initiatives

     

    Facilitates environment of servant leadership and customer service

     

    Plans and directs project management activities in coordination with other OhioHealth departments.

     

    Actively participates in team activities such as Gemba walks.

     

    10%: Medicare, Medicaid, and commercial program knowledge

     

    Analyze and communicate relevant policy updates in the value-based payer space, including Medicare, commercial and Medicaid.

     

    Demonstrate how program and policy changes would impact OhioHealth CIN day-to-day operations and performance.

    Minimum Qualifications:

    Bachelor's Degree (Required), Master's Degree (Required)

    Additional Job Description:

    Work Shift:

    Day

    Scheduled Weekly Hours :

    40

     

    Department

     

    Health Care Transformation

     

    Join us!

     
     
     
     

    Equal Employment Opportunity

     

    OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

     


    Apply Now



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