Downers Grove, IL30+ days ago
Implement and Run Partial Risk Plans • Own implementation and ongoing execution of partial risk contracts • Translate contract requirements into specific, operational initiatives • Partner with operations to build and deploy BPAs and workflow changes embedded in physician practice • Lead a weekly execution workgroup to drive timelines, adoption, and issue resolution • Manage Performance • Partner with Analytics/IT to build and use dashboards that track initiative execution and results • Monitor performance and actively course-correct when targets are missed • Work directly with payers to validate and improve reporting • Present implementation status and results to the President and steering committee • Own and maintain action tracker and facilitate payer JOCs as needed • Drive Improvement & Additional Initiatives • Identify and implement performance improvement opportunities • Support ad hoc payer, strategic, and enterprise initiatives as they arise, including analysis, partnership evaluation, and special projects. • 7+ years of progressive experience in healthcare operations, payer contracting, value-based care, or related programs • Bachelor's degree in healthcare administration, Business Administration, Finance, Public Health, Analytics, or a related field, or an equivalent combination of education and relevant work experience • Working knowledge of Medicare Advantage, ACO REACH, and MSSP programs • Demonstrated experience supporting the execution of risk-based or value-based contracts • Proven ability to lead cross-functional initiatives and collaborate with teams such as utilization management and care management • Strong analytical and execution-oriented mindset with the ability to balance strategic objectives and day-to-day operations.