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Job Description Summary:

The Manager, Quality & Risk Adjustment is responsible for the strategic coordination of quality and risk adjustment programs supporting OhioHealth’s Population Health efforts including but not limited to Clinically Integrated Network (CIN), Medicare Shared Savings Program, etc. This position will:
• Support a high functioning integrated network through developing an operating system, identification and implementation of programs and services to improve performance to goals
• The position will work in a matrix organization to ensure supporting the needs of the CIN; teams that this position will interact with frequently include but are not limited to: PHS Provider & Practice Engagement, PHS Value-based Contract team, Care Management, CIN Medical Directors & Quality Enhancement Council, Pharmacy, analytics & IT, Clinical Enterprise/Service Lines, OhioHealth Quality & Patient Safety, Revenue Cycle, etc.
• Report to the Director of Value-Based Performance

Responsibilities And Duties:

40% Responsible for the daily operations and supervision of Risk Adjustment & Quality programs; works with direct report subject matter experts to develop & deploy interventions and processes to achieve program objectives; communicates project status (progress, learnings, barriers, next steps) to leadership; explain complex information to key stakeholders and approval bodies that drive organizational decision making; support payer joint operating committees and performance reviews, ensuring processes for program improvement are sustainable, repeatable, and transparent
30% Leads staff assigned to risk adjustment and quality; provides guidance & engages with staff; builds effective teams to achieve established goals; ensures team receives ongoing professional development and education to stay current with rules and regulations
20% Assisting Director of Value-Based Performance with the strategic direction of Risk Adjustment & Quality programs, including but not limited to, proposing annual goals and activities to improve performance, supports developing business cases for maturation.
10% - Assumes responsibility for self-development to meet performance goals, certification, and program standards. The major duties/ responsibilities and listed above are not intended to be all inclusive of the duties, responsibilities and to be performed by associates in this job.

Minimum Qualifications:

Master's Degree (Required)

Additional Job Description:

SPECIALIZED KNOWLEDGE

•          Demonstrated experience managing complex programs with successful outcomes

•          Ability to influence and create a positive environment for change and buy-in with key stakeholders

•          Excellent communication (verbal, written, and listening) skills

•          Strong interpersonal and collaboration skills

•          Strong analytical and project management skills

•          Ability to conduct and interpret quantitative/qualitative analyses

•          Dependable, self-directed with excellent critical thinking, problem-solving and deductive reasoning skills

•          Managing remote workforce

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Health Care Transformation

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

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.