Position Description:
The Network Management team at SOMOS Innovation, LLC, is responsible for partnering with healthcare providers to develop, maintain and optimize SOMOS provider network throughout the communities we serve. The Manager, Value-Based Performance and Strategy will report to the VP, Value Based Performance and Strategy, and will play an integral role in the organizations performance by partnering with providers throughout the region to drive performance through advanced value-based arrangements.
Role Responsibilities :
Implementing and advancing value-based reimbursement models designed to transform the way healthcare is delivered and financed throughout our communities
Developing and executing strategic initiatives designed to effectively transition primary care partners into the most advanced value-based arrangements
Managing provider's quality and financial performance across various value-based arrangements
Presenting quality and financial results to provider partners and identifying strategies to capitalize on areas of opportunity
Developing the data and reporting infrastructure needed to successfully communicate results to provider partners
Maintaining strong relationships throughout the provider community in order effectively promote SOMOS IPA and transition applicable providers into value-based arrangements
COMPETENCIES AND QUALIFICATIONS
BS/BA in a business administration or healthcare-related field
Minimum of 5 years of experience, with at least 3 years' experience in healthcare strategy, finance, consulting, network, or related role
Ability to successfully negotiate value-based contracts with key primary care and other provider partners
Understanding of performance levers of value-based primary care contracts and ability to develop strategies to improve performance
Understanding of financial reports and the ability to manage accordingly
Understanding of contract language and legal requirements/guidelines for contracting
Understanding of various financial reimbursement methodologies used in managed care contracts
Excellent organizational and prioritization skills, the ability to work under tight deadlines, high productivity
Strong written and verbal excellent communication skills
Ability to effectively present to both internal and external parties
Ability to interact with senior leadership from both an internal and external perspective
POSITION TYPE AND EXPECTED HOURS OF WORK
Primary Location: 2910 Exterior Street, 1st Floor Bronx, NY 10463
Hours Per Week: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours: 40 hours per week
Job Schedule: Full-time - schedule to be determined by the manager
Job Type: Standard
Employee Status: Regular
Employee Group/Union Affiliation: Salaried, Non-Union, Exempt
Job Level: Manager with Direct Reports
Job Category: External Affairs / Relations
Department: Innovator
Travel: Yes, 5 % of the Time
About SOMOS Innovation, LLC: Employees and Board Members of SOMOS Innovation, LLC only access PHI/EPHI on a need-to-know basis. Employees and Board members may only access confidential information that is authorized within their scope of duties and responsibilities and is responsible for the safeguarding of this information. SOMOS may periodically review, revise and/or revoke an employees or Board members privileges to access confidential (PHI) information.
Please note this job description is not designed to cover or contain all activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. 100,000 - 150,000