- RWJBarnabas Health (Somerset, NJ)
- ACO Value Based Program Coordinator (Part-Time) - Somerset, NJReq #:0000173345 Category:Nurse Case Manager Status:Part-Time Shift:Day ... the right care, at the right time, by the right people. The Value Based Program Coordinator will utilize skilled intervention, clinical best practice… more
- CVS Health (Springfield, IL)
- …for pricing, reserving, and medical cost/utilization trends under a variety of program requirements including value - based arrangements, MLR calculations, ... a CVS Healthspire business, is a strategic partner in value - based care serving more than 1M Medicare...and over 60K provider partners across 230 clients in ACO REACH, Medicare Shared Savings Program (MSSP),… more
- Fallon Health (Worcester, MA)
- …as Behavioral Health and Long-Term Services and Supports. + May refer members to Flex Program as applicable depending upon the ACO the member is affiliated with. ... larger member population. This role embeds in person at ACO partner locations. **Responsibilities** **The role of the Behavioral...+ Refers qualifying members to Behavioral Health Case Management based on program protocol. + Maintains and… more
- Hawaii Pacific Health (Honolulu, HI)
- …and support in the development, implementation, and maintenance of HHP quality programs, and value based program management and initiatives. We are looking ... the development of new programs and make viable recommendations based on solid data to achieve our mission to...or clinical health care experience involving support, office or program management skills, progressive level of responsibility with a… more
- CVS Health (Hartford, CT)
- …Research Identifiable Files RIF) and/or LDS (5% Sample Data) + Prior experience in value - based care settings. + Proficient in Excel, Word and Power Point ... you will do** + Assists with establishing and implementing results- based programs and innovative initiatives for the actuarial informatics...or more of the following areas: + Medicare Advantage, ACO , MSSP, ACO REACH + Healthcare Economics… more
- Baylor Scott & White Health (Dallas, TX)
- …Solutions will be responsible for providing strategic direction and leadership to the Value Based Care (VBC) business unit, portfolio and platform of services. ... **Essential Functions:** - Services as the senior leader of Value Based Care enablement for BSWH -...based government programs such as direct contracting and ACO models as well as other programs. - Partners… more
- CVS Health (Austin, TX)
- …and maintain these programs, as well as drive innovation in service of value - based care principles and outcomes. Together with the clinical teams, product ... and Partner Success leaders to meet long term goals of collaborative, value - based reimbursement arrangements. - Actively collaborates and partners with the… more
- Corewell Health (Southfield, MI)
- …for Corewell Health network providers (primary care & specialist) to maintain compliance with value - based program requirements. Stays abreast of program ... provide continuous education to physicians and practice staff on the value - based reimbursement programs. Assist in presenting learning collaborative sessions.… more
- Texas Health Resources (Arlington, TX)
- **Director Value Based Care Analytics** **Job Summary** The Director of Value - based Care Analytics will provide leadership, vision and guidance in the ... best practices. The ideal candidate will have broad and deep understanding of value - based care performance and operations such as quality, care management,… more
- The Cigna Group (Nashville, TN)
- …Lead will be an individual contributor responsible for providing analytics supporting value - based care capabilities for Accountable Care. This role will be ... responsible for executing analytics around ACO /Risk Bearing Entity programs to help measure and evaluate...provide analytical reporting for use in evaluation of our value - based care programs. **Responsibilities** + Create tools… 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
- State of Massachusetts (Boston, MA)
- …Care and Behavioral Health Unit manages a variety of programs including the ACO program , Community Partners program , Flexible Services program ... addition to their role supporting the primary care sub-capitation program , this person may also support broader ACO...incentives for primary care providers to focus on the value of services provided, shifting away from volume- based… more
- CVS Health (Austin, TX)
- …resources provided by subject matter experts on quality reporting, promoting interoperability, ACO compliance, value - based payment policy and other related ... effectively implement CVS Accountable Care Foundational Programs such as team- based care, annual wellness visits and proactive primary care....ACO shared savings. + Stay current on evolving ACO program requirements from CMS as well… more
- Deloitte (New York, NY)
- …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
- Deloitte (Minneapolis, MN)
- …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
- Community Health Network (IN)
- …(CIN) is responsible for growth, performance, and provider transformation under value /risk- based reimbursement models including government programs such as MSSP. ... The Director will also support CMS Medicare Shared Savings Program (MSSP) ACO Regulatory and Operations functions...experience with a provider perspective and strong orientation to value - based care principles and the health policy… more
- CVS Health (Overland Park, KS)
- …and risks, through key root-cause analyses, and manage the risk position of various value - based products (Medicare Advantage, MSSP, ACO REACH).** **What will ... Evaluate the impact of Medicare quality and risk adjustment program has on our MA risk contracts and ACOs...Limited Data Set (5% Sample Data) Prior Experience in Value - based care settings Proficient in Excel, Work… more
- CVS Health (Austin, TX)
- …requirements, and company commitments. + Deliver interventions to drive improvement across Value based programs. + Establish, nurture, and utilize partner ... facilitating transformation of the care that is delivered to ACO attributed lives, strengthening the patient-centric collaboration between CVS...health fields. + Experience with Episodes of Care or Value Based Care + Strong critical thinking… more
- CVS Health (Richmond, VA)
- …healthcare clinical consultant is highly desirable. + Specific experience within value - based contracting, risk-bearing entity and/or an ACO model is highly ... care industry, policy, research design, predictive modeling, alternative payment mechanisms and risk- based / ACO finance methods and tools + Proven success leading… more
- Bluestone Physician Services (Milwaukee, WI)
- …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