Posted:
8/26/2024, 5:00:00 PM
Location(s):
Fresno, California, United States ⋅ California, United States
Experience Level(s):
Senior
Field(s):
Consulting
Workplace Type:
Remote
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 Senior Consultant, Value Based Contract Performance is charged with supporting teams in solving complex problems focused on improving performance on value-based contracts or alternative payment programs in the Medicare, Commercial and Medicaid spaces as OhioHealth transitions from a volume to value clinical delivery model. 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.Minimum Qualifications:
Bachelor's Degree (Required), Master's Degreedegree in healthcare related fields, Public Health, Business Administration, Healthcare Administration, or Engineering. Can be in process of obtaining a master’s degree. Bachelor’s degree plus 2 years of relevant healthcare programmatic administrative experience, in lieu of Master’s degree.
Kind and Length of Experience: One-to-three+ years preferred in healthcare and/or experience in implementing continuous improvement methodologies required with increasingly scope of complexity; experience in a highly complex integrated health system or payer environment; recent graduate meeting education requirements above is acceptable.
SPECIALIZED KNOWLEDGE
Specialized Knowledge: Strong organizational skills, stakeholder engagement skills, strategic planning, process improvement / LEAN operations, business development project management, and healthcare policy. The following competencies are required for this position: Curiosity, Active Listening, and Problem Solving.
DESIRED ATTRIBUTES
Proven track record in supporting teams to solve complex problems, effective relationship building, and demonstrated ability to interface in a matrix relationship with team members in other business units. Networking, thorough communication and interpersonal skills, performance measures and outcomes driven; excellent rapport-building skills; collegiality; problem-solving and conflict resolution skills.
These competencies are important for this position: Relationship Management, Leading & Managing Change, Risk Taking, Embracing Diversity, Approachability, Influencing, Audience Connection, and Driving Results.
Kind and Length of Experience: Three-to-five + years in healthcare and/or experience in implementing continuous improvement methodologies; with experience in a highly complex integrated health system or payer environment.
RESPONSIBILITIES AND DUTIES
70%: Supporting multiple teams to describe and improve value-based contract / program performance
· Coordinates and monitors program performance and continuous improvement initiatives
· Participates in data collection, analyses, and interpretation of analyses for program planning purposes
· Serves as subject matter expert and interpreter of value contracts and programs to support the description of what we need to accomplish and subsequent stakeholder decisions.
· Promotes working relationships with other interdependent OhioHealth departments
· Participates in strategic planning
· Actively participates in team activities such as Gemba walks, team huddles, and team-building sessions to foster growth, development, and team effectiveness.
30%: Medicare, Medicaid, and commercial program knowledge
· Analyze and communicate relevant policy updates in the value-based payer space, including Medicare, commercial and Medicaid
· Advise how program and policy changes would impact OhioHealth CIN day-to-day operations and performance
Work Shift:
DayScheduled Weekly Hours :
40Department
Health Care TransformationJoin us!
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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
Remote Work Disclaimer:
Positions marked as remote are only eligible for work from Ohio.
Website: https://cathlab.com/
Headquarter Location: Fresno, California, United States
Employee Count: 11-50
IPO Status: Private
Industries: Health Care ⋅ News ⋅ Publishing