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Population Health Performance & Attribution Specialist (Remote-US)

9000 Bon Secours Mercy Health Inc
Virginia, VA Remote Full Time
POSTED ON 2/4/2024 CLOSED ON 4/2/2024

What are the responsibilities and job description for the Population Health Performance & Attribution Specialist (Remote-US) position at 9000 Bon Secours Mercy Health Inc?

Thank you for considering a career at Bon Secours Mercy Health! Primary Function/General Purpose of Position This role is responsible for patient attribution and retention within Bon Secours Mercy Health's (BSMH) value-based contracts including Medicare Shared Savings Program (MSSP), Medicare Advantage and Medicaid plans. This role will primarily interact with physicians, providers, and patient populations to deliver enhanced membership and enrollment in value-based contracts while ensuring opportunities to grow and retain populations. This role will serve as the subject matter expert for attribution methodology and Alternative Payment Models while driving for ministry defined Key Performance Indicators (KPIs) and results. Essential Job Functions Responsible within an assigned geography to work closely with payor partners, while collaborating with internal stakeholders, to deliver identified enrollment numbers. Utilizes internal and external payor data to identify patients who should/should not be included in value-based contracts and works with payors to properly attribute members. Identifies new opportunities to grow membership numbers within assigned geography. Works closely with internal Population Health, Payor Contracting and Finance teams to ensure meaningful progress to goals while driving for results. Works on multiple projects and assignments as a subject matter expert to support leadership priorities, while continuously collaborating with providers and identified patient populations. Maintains working knowledge of third-party health care initiatives in which BSMH participates: MSSP, Medicare Advantage and Medicaid. Reviews, identifies, and develops strategies for the strategic direction of attribution and performance within BSMH. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification None Education Bachelor's Degree in healthcare, business, or related field (required) Work Experience 5 years in roles within the healthcare field (required) 3 years in patient and physician-facing positions (preferred) Experience with Medicare Advantage or Medicare Shared Savings plan attribution methodology (preferred) Working Conditions Periods of high stress and fluctuating workloads may occur. Long-distance or air travel as needed General office environment. May have periods of constant interruptions. Required to car travel to off-site locations, occasionally in adverse weather conditions. Prolonged periods of working alone. Skills Experience with Value Based contracting Understanding the landscape surrounding Alternative Payment Models Data analysis Strategic planning Relationship building Expert communication skills – written, verbal, facilitating presentations Problem-solving Innovative mindset Ability to connect easily with patients and providers In market travel required*** Bon Secours Mercy Health is an equal opportunity employer. Many of our opportunities reward* your hard work with: Comprehensive, affordable medical, dental and vision plans Prescription drug coverage Flexible spending accounts Life insurance w/AD&D Employer contributions to retirement savings plan when eligible Paid time off Educational Assistance And much more *Benefits offerings vary according to employment status Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Department: PHSO Admin - Population Health Service Organization All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com. For nearly 200 years, the historical founders of Bon Secours Mercy Health has been providing care to those in need. Today, the ministry is one of the top 20 health systems in the United States and part of the top performing quartile of Catholic health systems for lowest cost per case for patient care. This quality care is provided by more than 57,000 employees serving communities throughout Florida, Kentucky, Maryland, New York, Ohio, South Carolina and Virginia. The health care ministry provided care for patients more than 10.3 million times in 2017 through its network of more than 1,000 care sites. Consistent with its commitment to serve each patient with dignity, Bon Secours Mercy Health provides nearly $2 million per day in community benefit. The Mission of Bon Secours Mercy Health is to extend the compassionate ministry of Jesus by improving the health and well-being of its communities and bring good help to those in need, especially people who are poor, dying and underserved. For more information, visit www.bsmhealth.org.
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