QUALITY PROGRAM MANAGER - VBC OPERATIONS AND TRANSFORMATION
Beebe Healthcare · Lewes, DE · 1 mo ago
On-siteInformation Technology$73k/yrFull-time
Responsibilities
- Build strategy on key quality and clinical opportunity areas by understanding the details of Beebe's payer contracts and the quality outcomes they require and become the internal subject matter expert on areas of clinical quality as needed.
- Medicare Shared Savings Program
- Medicare Advantage STARs Programs
- Commercial Quality Programs
- Design workflows to meet quality outcomes and partner with internal teams to implement including building dashboards for HEDIS/ACO quality measures
- Affiliate with practice optimization committees with providers
- Facilitate sharing best practices between ambulatory and acute services
- Collaborate with external payer team members on strategies related to annual care visits and quality gap closure
- Manage and support relationships between internal stakeholders with external payers
- Work with identified teams to support key processes or areas of improvement to drive performance in value based agreements
- Serve as the lead and subject matter expert for PCMH transformation and sustainability
Qualifications
- Bachelor's degree preferred; Master's degree in Healthcare Administration, Nursing or Public Health preferred
- 5-7 years of relevant working experience
- Healthcare experience required
- Experience with Quality programs such as PCMH, MSSP and HEDIS strongly preferred
Pay
Entry USD $73,112.00/Yr. Max USD $113,318.40/Yr.