Manager of Value Based Performance - Millennium Physician Group

Manager of Value Based Performance

Millennium Physician Group

Fort Myers, FL

Summary

The Manager, Value Based Performance oversees all aspects of the company's health population systems, healthcare analytics, special projects and initiatives. This position is responsible for developing projects, reports and meaningful healthcare insights for various patient populations. The Manager, Value Based Performance will use their expertise to provide recommendations on cost/utilization trends, clinical transformation, quality/coding and process improvement initiatives. This position will make executive level presentations and ensure the integrity of the data in the system. The Manager, Value Based Performance will maintain working relations with the company's clinical integration team, care coordinator team, coding/quality team and providers. This position will also work in partnership with multiple directors and senior executives throughout all areas of the organization and work closely with The Center for Medicare / Medicaid and various private insurance companies. This position will report to the Chief Analytics Officer with dotted line to the Medical Director of Value Based Programs.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

Oversees and is responsible for the following

• The validation of clinical data from multiple sources to create reports for both external and internal use
• Coordinate and maintain aggregation and integrity of data being delivered by CMS, private payers and third-party data vendors.
• Financial performance reports on a periodic and ad-hoc basis for Care Coordination staff as well as physicians and executive leadership
• Reporting of monthly financial and utilization metrics
• Identifying high risk patient cohorts
• Devise creative solutions to accommodate partial data sets and custom data formats
• Ensures accuracy and timeliness of company's staff and physician reports to include regularly scheduled and ad-hoc reporting requests. Responsible for all follow-up and/or research requests regarding physician data
• Participates in project teams, analyzing various new programs, projects or ventures that require analysis of health population data
• Prepares reports, presentations and other documents and presents these materials in meetings.
• Maintains a comprehensive working knowledge of company's electronic health record and population management system workflow
• Maintains a working knowledge of relevant Government and third-party health care initiatives in which the company participates. It is assumed, in-order to maintain these skills, that relevant seminars, books, periodicals and regulations be routinely reviewed.
• Fully supporting the staff in their use of the system. Maintaining manual with standard operation procedures and instructions.
• Performs other related duties as assigned or requested.

Education / Experience / Skills

• Bachelor's in Business Administration, Actuarial Science, Finance, Computer Science, Information Technology, Healthcare Administration or related field required
• Master's degree preferred
• Minimum of 5 years' experience in Healthcare and Healthcare data analytics required; an understanding of Electronic Medical Records and population management system strongly preferred
• Knowledge of Medicare Advantage plans, MSSP Accountable Care Organizations (ACO) and Commercial ACOs a plus
• Knowledge/use of analytic tools (e.g. Lightbeam, Excel, SQL, Access, SAS)
• IT systems, database design, or data structures
• Self-starter with the ability to work independently and as a team
• Ability to interact with executive management
• Translating complex topics into simple terms

Benefits:

• 3 weeks PTO & 7 paid holidays
• Medical, Dental, Vision
• Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment)
• 401(k) with match
• Employee Wellness
• Other Employee Discount programs like Tickets at Work and cell phone discounts
• Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more

See Full Job Description for more details

Why Millennium?

Millennium Physician Group is one of the largest comprehensive primary care practices with healthcare providers throughout Florida.

At Millennium Physician Group, you will find an organization that focuses on family and building a strong network of people to care for the communities we serve. We are always searching for employees who have a strong customer service attitude, fantastic teamwork skills and a willing smile ready to share.

Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual, and help you grow in your role with Millennium Physician Group.

If you are interested in joining an organization that puts an emphasis on team work and family, then Millennium Physician Group is the right choice