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Population Health & Value Based Care Manager

Primary PartnerCare Management Group, Inc
place Great Neck, 11026
local_atm $65,000 - $87,500 a year
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Full Time

About Job

Fast-paced, rapidly growing primary care focused MSO seeks high energy, super organized, multi-tasking population health/value-based care manager to support our emerging physician support team.

Our company was founded on the value of the doctor-patient relationship, especially primary care. Our physicians provide extraordinary care to their adult patients through their participation in the Medicare Shared Savings Program. For the last 5 years we have had the highest quality score of all NYS MSSP ACOs!

We are seeking a manager to expand and develop our Physician Support Team, with responsibility for:

  • HCC documentation and coding, persistency and new diagnosis codes; you are comfortable with ICD10s and Excel
  • Quality Measures (HEDIS, ACO & Payor Specific) - you teaching and cheerleading to get the highest score possible
  • Cost of Care - you work with Analytics Team and the physician sites to ensure steps are taken to help these patients with catastrophic events or multiple chronic conditions
  • Proactive management of preventive care to ensure our patients all receive their full preventive care under Medicare and MA
  • We are seeking an entrepreneurial leader to grow and mentor the team

The position is based in Great Neck with periodic onsite time in the doctors’ care centers throughout Nassau & Suffolk as needed (most can be done via TEAMS or phone)

Qualifications

  • Bachelors in related field; Masters preferred
  • 3+ years experience working in similar programs (population health, utilization management, patient education, value-based models etc.)
  • Strong operational skills to develop workflows, policies & procedures, KPIs and reporting
  • Intellectual curiosity to learn new material, regulations and requirements
  • Superb communication skills, both oral and written
  • Ability to use data for organized and efficient decision-making
  • Ability to innovate to build a better model within the regulatory structures

Salary + Bonus+ Group Health & Dental + Vision +Holidays + Paid Time Off + 401(K)

Job Type: Full-time

Pay: $65,000.00 - $87,500.00 per year

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Application Question(s):

  • Why are you interested in this position?

Education:

  • Bachelor's (Preferred)

Experience:

  • Microsoft Excel: 5 years (Preferred)
  • Working with Medicare population: 3 years (Preferred)
  • Health Education or Public Health: 2 years (Preferred)
  • Managing diverse teams & building shared culture: 5 years (Preferred)
  • Program development: 1 year (Preferred)
  • Data driven decision making: 3 years (Preferred)
  • healthcare operations: 5 years (Preferred)

Work Location: In person