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This will be a hybrid position which will require up to 25% local travel to various locations in Massachusetts in the Northern Region/Merrimack Valley.

Job Profile Summary

•This role focuses on providing administrative and business support to the organization in order to achieve operational goals. In addition, this role focuses on performing the following Clinical Administration duties: Long-term strategic planning, determines strategic issues and opportunities that could affect practice success, prioritizes and tracks investments across practices, allocates resources and makes decisions regarding practice growth, and develops need to accomplish the practice's vision. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A specialist level role that is a recognized subject matter expert in job area typically obtained through advanced education and work experience. Typically manages large projects or processes with limited oversight from manager, coaches, reviews and delegates work to lower level professionals, resolving difficult and often complex problems.

Job Overview

Reporting to the Executive Director of the Lowell General PHO and working in collaboration with the Tufts Medicine Integrated Network (“TMIN”) North Region Lead, the Manager will be responsible for the daily management and execution of strategic goals determined by TMIN and the Lowell General PHO Board of Directors.

The following programs and services are handled centrally by the Tufts Medicine Integrated Network: Payer strategy and contracting

+ Payer strategy and contracting

+ Contract implementation and operations

+ Provider enrollment

+ Care management

+ Information technology (implementation and support)

+ Finance (including physician payments and funds flow)

+ Risk adjustment

+ Network growth

+ Strategic initiatives (virtual care, behavioral health, patient access, clinical collaboration, etc.)

The following initiatives are managed locally by the Lowell General PHO:

+ Value-based contract performance

+ Referral management

+ Local funds flow (performance measures, distribution of incentives)

+ Regional and local implementation of Elevate Population Health initiatives (quality improvement, patient experience, behavioral health)

+ Provider relations & communication

Job Description

Minimum Qualifications:

1. Bachelor’s degree in Business or Healthcare related field.

2. Five (5) years of health care experience including experience in health plans, quality improvement, successful project management, managed care, pay for performance programs, HEDIS, and efficiency programs.

Preferred Qualifications:

1. Master’s degree in Business or Healthcare related field.

**Duties and Responsibilities:** The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

1. Serves as a point of contact in supporting the stakeholders of the legacy Lowell General PHO (primary care physicians, specialty care physicians and Lowell General Hospital) to discuss and resolve escalated issues around contracting, fee schedules, local incentives, alternative payment models, population health programs and interventions, IT needs and other strategic priorities.

2. Analyzes, plans, socializes, and engages stakeholders to update funds flow and incentives at the local level.

3. Supports the LGPHO Medical Directors as they cascade the results of performance in our TMIN value-based contracts to the local pod/practice level in a way that supplements the Elevate Population Health initiatives advancing through the Practice Optimization Program.

4. Supports the Executive Director and North Region Operations Director in planning, preparing, socializing and engaging Board Members on regular updates regarding financial progress, contract performance, population health initiatives, expansion, growth and other strategic goals and priorities.

Physical Requirements:

1. Occasionally lift and/or move up to 25 lbs.

2. This is largely a sedentary role, which involves sitting most of the time, but may involve movements such as walking, standing, reaching, ascending/descending stairs and operating office equipment.

3. Frequently required to speak, hear, communicate and exchange information.

4. Ability to see and read computer displays, read fine print, and/or normal type size print and distinguish letters, numbers and symbols.

Skills & Abilities:

1. Significant proficiency in Microsoft Office Programs, especially Microsoft Excel and PowerPoint

2. Strong written and verbal communication skills.

3. Demonstrated ability to listen to and learn from others.

4. Demonstrated ability to develop trust with stakeholders.

5. Strong knowledge of traditional and alternative healthcare payment models.

6. Ability to solve problems.

7. Ability to analyze data to gain insights into areas of risk and/or opportunity.

8. Knowledge and competency in Electronic Health Records.

9. Workflow knowledge in ambulatory care/provider practice settings.

10. Ability to establish good working relationships with physicians and practice staff.

Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at [email protected] .