Program Manager Population Health & Value Based Payment/Full Time

Job description

The Program Manager- Population Health & Value-Based Payment has an important role in a high-profile group tasked with implementing system-wide improvements within multi-disciplinary operational teams, ensuring optimal and compliant Mid-Revenue Cycle processes within value-based reimbursement models and initiatives.

Reporting to the Director, Risk Adjustment and Value-Based Payment, the Program Manager is responsible for complex program management, strategic planning, and process improvement activities.

The leader acts with a high degree of autonomy focusing on improving Revenue Cycle processes, Population Health program management, Accountable Care Organization participation, and other alternative payment initiatives.

Responsibilities include but are not limited to, planning and oversight of strategic initiatives, project portfolio/playbook management, communication with key stakeholders, dashboard and reporting development, and working closely with physician and system leadership to drive progress toward system goals.

This position requires strong interpersonal and communication skills, well-developed analytic and organizational skills, along with the ability to work effectively with leaders at all levels of the organization.

Flexibility, innovation, and creativity are necessary characteristics of the successful candidate.

Individual is expected to learn and apply new continuous improvement methodologies, and to spread successful innovation throughout the institution to effectively manage the transition from Fee for Service toward Value-Based Reimbursement at Henry Ford Health System.



EDUCATION AND EXPERIENCE:

+ A Bachelors Degree is required.

A degree in business administration (w/ quality/operations improvement emphasis), healthcare administration (w/ quality/operations improvement emphasis), organizational development, or similar field is preferred.

+ Masters degree preferred.

Five or more years experience in healthcare required, with at least three years experience in project management, revenue cycle, and/or clinical operations.

+ 2-5 years of experience participating in or managing multidisciplinary and/or company-wide change management initiatives.

+ Strong leadership/mentoring skills applicable to both departmental staff and multi-disciplinary teams.

+ Knowledge of Medicare, Medicaid, Blue Cross and other third-party payers billing and reimbursement regulations/policies, preferred.

+ Comprehensive understanding of value-based reimbursement, quality improvement, and alternative payment models.

+ Demonstrated fluency in healthcare financial management and revenue cycle management best practices.

+ Exceptional detail orientation and project management skills; ability to estimate time frames and meet projected deadlines; ability to manage large, complex, simultaneous assignments with potentially conflicting priorities and deadlines.

+ Excellent communicator able to express complex ideas clearly and effectively to a varied audience, including the ability to teach complex technical/analytical concepts to system leadership and staff.

+ Able to develop buy-in and drive change across a wide variety of team members, departments, and stakeholders, including physician and senior-level leadership.

+ Foundational knowledge of analytical/technical, facilitative, and process improvement knowledge.

+ Strong Microsoft Office skills, particularly Excel.


Additional Information

+ Organization: Corporate Services

+ Department: HCC Administration

+ Shift: Day Job

+ Union Code: Not Applicable






Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions.

It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.






Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world.

We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail.

With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations.

Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus.

Learn more at henryford.com/careers .






Benefits
The health and overall well-being of our team members is our priority.

That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual.

Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan.

Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more.

Employees classified as contingent status are not eligible for benefits.






Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

Required Skill Profession

Other General