Value-Based Care Contract Program Manager

Leads operational management and execution of value-based contracts across government and commercial payer contracts. Evaluates and oversees contract development, coordination, execution and implementation of across government and commercial payer on value-based Care and Alternative Payment Programs, with a focus on their impact on the Medical Group and Partner Hospitals in New York and Vermont. Works with the payer policy analyst to develop policy impact statements.

Reports To: Vice President, Payer Strategy and Contracting

Key Responsibilities

Program Development and Contract Administration

* MSSP, ACO REACH, Medicaid VBC programs, employer-based VBC initiatives, and commercial value-based contracts.

* Evaluates and coordinates the contracting of mandatory Medicare programs

* Coordinate implementation of new value-based agreements.

* Maintain program governance and regulatory compliance.

Performance Management

* Support financial and quality performance.

Stakeholder Coordination

* Collaborate with population health, finance, analytics, and medical group leadership.

* Support clinical engagement around contract development and implementation.

Regulatory Monitoring

* Monitor federal and state-level policy changes.

* Assess operational and financial impacts of changing payment models.

* Coordinate required reporting activities.

Qualifications

* Bachelor's degree required; Master's preferred.

* 5+ years' experience in value-based care operations.

* Knowledge of CMS alternative payment models.

* Strong program management and performance improvement experience.