Value Based Purchasing Program Manager
To apply visit www.careoregon.org/careers and search for Value Based Purchasing Program Manager (requisition 20427) in our careers portal. If you have any difficulty submitting your resume through the online process, please let us know by emailing email@example.com.
CareOregon is making a difference. Join us.
For people who care about helping others, CareOregon is the place to be. We’re a nonprofit health plan dedicated to providing access to high-quality, cost-effective, culturally competent care for Oregon Health Plan and Medicare Advantage participants. For compassionate innovators committed to improving health care throughout Oregon, we offer a great work environment where your contributions are recognized.
To protect the health and well-being of our members, employees and community, CareOregon requires all employees to be fully vaccinated against COVID-19 or have an approved medical or religious exception as a qualification of employment.
Candidates who receive an offer of employment by CareOregon, must provide proof of COVID-19 vaccination or submit a medical or religious exception request, which will be evaluated in accordance with CareOregon’s standard accommodation process.
This position is responsible for leading and guiding CareOregon’s Shared Accountablity Model (SAM) programs to help ensure an effective and integrated delivery process focused on health outcomes. The position works closely with the Value Based Contracting team and also collaborates with regional and line of business leadership, population health, actuarial services, and Network and Clinical Support teams.
Develop meeting materials for Joint Operating Committee (JOC) meetings to support SAM and risk share models.
Develop agendas for Shared Accountability Model meetings.
Develop and maintain data-sharing, meeting, and contract calendars to support existing SAM and risk share models.
Collaborate with actuarial team and external actuarial consultants on data-sharing and financial reporting to support SAM and risk share models.
Collaborate with Network and Clinical Services (NCS) team to support development and measurement of quality within SAM and risk share models.
Develop and ensure necessary content is reflected in the Provider Guide for SAM model, among other supporting tools and materials.
Support collaboration with IS and NCS for development and delivery of enhanced financial reporting for SAM and risk share models.
Monitor and support value based contracting reporting regulatory requirements in partnership with the Finance team.
Perform work in alignment with the organization’s mission, vision and values.
Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
Strive to meet annual business goals in support the organization’s strategic goals.
Adhere to the organization’s policies, procedures and other relevant compliance needs.
Perform other duties as needed.
Knowledge, Skills and Abilities Required
Ability to identify and anticipate issues and act proactively to formulate plans and recommendations
Strong ability to manage multiple activities, organization communications, and competing priorities
Highly proficient in Microsoft Word, Excel, PowerPoint, and Outlook
Understanding of value based contracting
Understanding of shared risk models
Strong verbal and written communication skills
Ability to develop and maintain excellent professional working relationships with internal staff and departments and external stakeholders
Ability to work with diverse individuals and groups
Cognitive and Other Skills and Abilities
Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial direction and feedback, and tolerate and manage stress.
Education and/or Experience
Minimum 5 years’ experience required in program, project, or operations administration; experience should include independent leadership of small,medium and large complex projects and leading enterprise-wide, complex projects
Minimum 1 year experience in the health care industry
Experience in risk modeling, contracting, network partnership, or related work
Experience in health plan operations
Experience with Medicare, Medicaid or other government healthcare programs
Environment: This position’s primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):
☒ Inside/office ☐ Clinics/health facilities ☐ Member homes
Travel: This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.
Equipment: General office equipment
Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment, Veterans are strongly encouraged to apply.
Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.