- HCA Healthcare (Campbell, CA)
- …Do you want to join an organization that invests in you as a(an) ACO Care Coordinator? At HCA Healthcare, you come first. HCA Healthcare has committed up ... a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …healthcare industry experience required + 3 years of experience supporting healthcare value - based programs required; Medicare Risk program experience ... relocation to Louisiana is preferred for all positions. **POSITION PURPOSE** The ACO Clinical Documentation Lead is responsible for assessing and improving processes… more
- Ascension Health (Tulsa, OK)
- …utilization trends, and financial performance.Ensure compliance with CMS, Medicare Shared Savings Program (MSSP), and other value - based care regulations. + ... populations for employed providers, population health analytics. + Director of Value - Based Programs - responsible for management of ACO including financial… more
- RWJBarnabas Health (Somerset, NJ)
- … settings and population health + Key responsibilities include supporting RWJBH ACO operations, connecting value - based programs with quality reporting ... the payer roster communications and changes submission process for value - based contracts + Conduct weekly and monthly...system; with an effort to improve our performance in ACO . + Utilize government program portals to… more
- BayCare Health System (Clearwater, FL)
- …respect, responsibility and clinical excellence. **Vice President/ Chief Medical Officer - Value Based Care Summary:** + Responsible for improving value ... Additionally, oversees all Service Level Agreements (SLAs) and contractual performance of Value Based Care organization, BPP Clinically Integrated Network (CIN),… more
- Methodist Health System (Dallas, TX)
- …managed under the ACO . * Design, implement and oversee hospice monitoring program for Medicare Advantage value based agreements. * Design, implement ... and oversee home health needs assessment and program for Medicare Advantage value ... agreements. *Design, implement and oversee home health recertification program for ACO physician offices. With continuous… more
- Deloitte (Charlotte, NC)
- …product strategy + Experience with reimbursement models including value based care/ ACO modeling + Ability to program using SQL + ASA with progression to ... and human resource performance and establish a culture focused on adding business value ? That is what the new generation of human resource transformation is all… more
- Fallon Health (Dartmouth, MA)
- …with Fallon Health Pharmacist, referring members in need of medication review based upon Program process o Develops and fosters relationships with ... provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE ( Program of All-Inclusive Care for the Elderly)- in the region.… more
- HCA Healthcare (Nashville, TN)
- …information to determine opportunities, needed interventions, and best practices. + Conducts value - based payer program education. + Supports all external ... and consistent approach to the implementation, training, management, and measurement of Value - Based Payer Programs across the PSG enterprise. + Works with… more
- AdventHealth (Maitland, FL)
- …third-party activities. o Leads financial management, modeling and actuarial services for all risk- based and value - based contracts. o Partners with the ... bundle programs with over 13,500 episodes and $395M in program size. The Chief Finance Officer is responsible for...roles, including experience as the financial leader of a value - based care organization. . A robust understanding… more
- Dignity Health (Bakersfield, CA)
- …- Bachelor's degree in mathematics statistics or a related field. - Knowledge of value - based arrangements, ACO and population health analytics required. - ... activities that advance CommonSpirit Health's strategy to transform care delivery through value based care. Working in partnership with CommonSpirit Payer… more
- Providence (Irvine, CA)
- …and negotiate rate structures within PPO, HMO and FFS products, as well as capitation, ACO , and other value - based arrangements and in a manner that rewards ... revenue generated for Commercial, Medicare Advantage, Medicaid, and Accountable Care or Value Based Initiatives. This position is responsible for negotiating… more
- Bluestone Physician Services (Sarasota, FL)
- …articulate company value proposition + Manage complex schedule and modifications based on new and existing buildings, patient growth, and new providers joining ... proactive and tailored to their unique needs. Using an evidence- based approach focused on quality care management and data-driven...Workplace USA 2021-2024! In 2022, Bluestone Accountable Care Organization ( ACO ) was the best performing ACO in… more
- Summit Medical Consultants LLC (Denver, CO)
- …care experience + Experience in use of Electronic Medical Records + Preferred experience in ACO an/or value based care models + Strong written and verbal ... partners + Assist Practice Management team in tracking, monitoring and intervening in ACO /ISNP and Optum patient metrics + Assist provider teams in Annual Wellness… more
- Ascension Health (Austin, TX)
- …Organizations participating in the Enhanced Track of the Medicare Shared Savings Program , multiple commercial value - based models and a direct-to-employer ... 50% clinical, 50% administrative but could change as the program and staffing grows. This role is a hybrid...assistance in managed care contracting from the perspective of value based contract performance. + Partner with… more
- Lumeris (IL)
- …related quality and service offerings. Works to positively influence ACT behavior empowering value based care, quality and cost & utilization. Plays a critical ... review of findings, best practice recommendations related to a practice's readiness for value - based care. + Coaches on pre-visit planning and closure of gaps… more
- J&J Family of Companies (Titusville, NJ)
- …for Medicare Shared Savings Program (MSSP) and other Accountable Care Organization ( ACO ) models + Shape value - based payment models to advance patient ... access to innovative medicines and mitigate risk value based payment models at the macro level **Key Leadership Responsibilities** + Partnership with the other… more
- Stanford Health Care (Palo Alto, CA)
- …clinical workflows, systems, tools, and metrics to achieve organizational goals and value - based care contract outcomes related to post-acute care. the Director ... assure collaboration within post-acute care services. + Incorporates the use of evidence- based practice into post-acute care program development and improvement… more
- BrightSpring Health Services (Louisville, KY)
- … care model within our highest risk populations. Responsibilities + Along with the Value Based Program Manager and Director of Care Management, builds ... caregivers. Abode Care Partners was accepted into CMS' GUIDE program and this role will be integral to the...care coordination and/or population health management. + Experience with value based care/ ACO models. +… more
- Cedars-Sinai (Beverly Hills, CA)
- …HEDIS, pay-for-performance, ACO and other clinical pay-for-performance and pay-for- value program as requested. **Qualifications** **Education:** + Bachelor's ... will also measure performance and see opportunities to enhance performance in value - based systems of care. As healthcare evolves with new models of service… more