Health Partner Incentive Manager

About the Role

Given the complex and evolving nature of the healthcare industry, particularly in the shift towards value-based care models, this role demands a professional with a deep understanding of healthcare reimbursement strategies, data analysis, and quality improvement processes. The ability to interpret and analyze data to inform decision-making is crucial, as is the capacity to communicate complex ideas and strategies to both internal stakeholders and external healthcare providers.

The Health Partner Incentive Manager will also be integral in identifying opportunities for performance improvement and implementing initiatives that enhance provider engagement and the overall quality of care. This involves staying abreast of industry trends, regulatory changes, and emerging best practices in value-based care.

What You Will Do

• Manage the implementation of new value-based health partner contracts, ensuring accuracy and timeliness.
• Review and validate Alternative Payment Model (APM) reports, distributing scorecards to providers as necessary.
• Oversee the multidisciplinary implementation of complex reimbursement relationships within assigned markets.
• Model provider performance in proposed or current APM programs to demonstrate potential value or opportunities.
• Develop customized provider performance plans to support quality improvement activities and APM goals.
• Monitor and assess these plans, identifying necessary adjustments or enhancements.
• Participate in the identification and implementation of performance improvement initiatives.
• Oversee systematic population management initiatives.
• Collaborate with internal stakeholders to develop APM programs.
• Provide insights and analysis to leadership to inform provider targeting for APM programs.
• Develop enhanced APM program reporting for assigned markets.
• Continually develop and enhance training and literature for internal and external users.
• Engage in key committees, subcommittees, and workgroups as required.
• Report on key accomplishments and issues to leadership.
• Meet with providers as needed and address related inquiries.
• Manage multiple projects, collecting and analyzing data and disseminating it to appropriate departments.
• Perform other duties as requested.

What We Are Looking For

• Bachelor’s Degree in Business Administration or a related field; equivalent work experience is also considered.
• Minimum of three years of experience in data analysis, reporting, or data support.
• Previous experience in the healthcare industry, preferably in managed health plans.
• Experience in quality improvement processes.
• Proficiency in Microsoft Office, particularly Excel.
• Excellent written and verbal communication skills.
• Ability to identify problems, develop solutions, and implement effective courses of action.
• Strong goal-setting and accomplishment skills.
• Ability to work on multiple projects simultaneously.
• High level of professionalism and interpersonal skills.
• Effective listening and critical thinking skills.
• Excellent problem-solving skills with attention to detail.
• Ability to work independently and within a team.
• Excellent leadership skills.
• Capacity to create and maintain excellent working relationships.

Nice to Have

• Experience with project management tools and software.
• Knowledge of healthcare regulations and compliance.
• Certification in a related field, such as healthcare management or quality improvement.
• Experience in training or educating healthcare providers on reimbursement programs.

Benefits and Perks

• Competitive salary.
• Bonus tied to company and individual performance.
• Comprehensive total rewards package focusing on employee well-being.
• Opportunities for professional development and growth.
• Remote work flexibility.
• Access to cutting-edge technology and tools.
• Collaborative and dynamic work environment.
• Recognition and reward for outstanding performance.

• Ensure your resume and cover letter are tailored to the role, highlighting experience in data analysis, quality improvement, and stakeholder management.
• Prepare to discuss specific examples of managing complex reimbursement programs or quality improvement initiatives during the interview.
• Familiarize yourself with current trends and challenges in value-based care to demonstrate your expertise and interest in the field.
• Be ready to walk through your process for analyzing data and developing insights to inform decision-making.
• Consider having examples of your work, such as reports or performance plans you've developed, to share with the interviewer.
• Don't hesitate to ask about the company culture, opportunities for growth, and the typical career path for someone in this role during the interview.