Manager, Population Health Business Analytics
Company: Sentara
Location: Virginia Beach
Posted on: April 16, 2024
Job Description:
City/StateVirginia Beach, VAOverviewWork ShiftFirst (Days)
(United States of America)Manager, Population Health Business
Analytics Position Status: Full-time, Day ShiftLocation: 1300
Sentara Park, Norfolk, VirginiaStandard Working Hours: 8:00AM to
5:00PM (ET).Position Summary:Manager, Population Health Business
Analytics leads Population Health Team projects, activities, and
initiatives that directly support the mission and objectives of the
Population Health division of Sentara Health.Under the direction of
the Vice President of Population Health, this role is responsible
for :
- identifying, designing, and implementing Key Performance
Indicator tracking mechanisms, models, and other services that will
best meet Sentara Health's needs for growth in SACO and SQCN.
- Responsible for leadership and oversight of effective contract
performance management and financial performance related to Value
Based Care Contracts with Federal (CMS) and Commercial (ex. Humana,
Aetna) payers; creating, and delivering solutions that are scalable
and create a repeatable success for SQCN and SACO.
- Works In close coordination with the acute care, health plan,
physician leaders, and key stakeholders to translate high-level
organizational strategies into actionable and scalable performance
measurement, facilitate/drive delivery of strategy, designs,
prototypes and pilots.
- Provides thought leadership to the organization regarding the
evolving opportunities - including but not limited to operational
efficiencies, new CMMI opportunities, new markets, predictive
analytics, population management, clinical decision support, care
pathway automation.
- Maintains a portfolio management process for all innovation
initiatives, prioritize initiatives and drive delivery for high
priority/all initiatives. Collaborates with managed care, finance,
analytics and reporting to evaluate programs effectiveness and
ROIMinimum Requirements:
- Bachelor's Level Degree (Business Administration, Finance or
Healthcare Management/Admin)
- 5-10 years CMS CMMI experienceand experience in the following:
- Regulatory Environment
- Contract Management
- Outcomes Management
- Program Management
- Project ManagementDiversity and Inclusion at SentaraOur vision
is that everyone brings the strengths that come with diversity to
work with them every day. When we are achieving our vision, we have
team members that feel they belong and can be their authentic
selves, and our workforce is reflective of the communities we
serve.We are realizing this vision through our Diversity and
Inclusion strategy, which has three pillars: A diverse and talented
workforce, an inclusive and supportive workplace, and outreach and
engagement with our community. We have made remarkable strides in
these areas over the past several years and, as our world continues
to evolve, we know our work is never done.Our strategies focus on
bothstructural inclusion, which looks at our organizational
structures, processes, and practices; as well asbehavioral
inclusion, which evaluates our mindsets, skillsets, and
relationships. Together, these strategies are moving our
organization forward in an environment that fosters a culture of
mutual respect and belonging for all.Please visit the link below to
learn more about Sentara's commitment to diversity and
inclusion:SentaraOverviewFor more than a decade, Modern Healthcare
magazine has ranked Sentara Health as one of the nation's top
integrated healthcare systems. That's because we are dedicated to
growth, innovation, and patient safety at more than 300 sites of
care in Virginia and northeastern North Carolina, including 12
acute care hospitals.Sentara BenefitsAs the third-largest employer
in Virginia, Sentara Health was named by Forbes Magazine as one of
America's best large employers. We offer a variety of amenities to
our employees, including, but not limited to:
- Medical, Dental, and Vision Insurance
- Paid Annual Leave, Sick Leave
- Flexible Spending Accounts
- Retirement funds with matching contribution
- Supplemental insurance policies, including legal, Life
Insurance and AD&D among others
- Work Perks program including discounted movie and theme park
tickets among other great deals
- Opportunities for further advancement within our
organizationSentara employees strive to make our communities
healthier places to live. We're setting the standard for medical
excellence within avibrant, creative, and highly productive
workplace. For information about our employee benefits, please
visit:Benefits - Sentara ()Join our team!We are committed to
quality healthcare, improving health every day, and provide the
opportunity for training, development, and growth!Please Note:The
yearly Flu Vaccination is required for employment.Note: Sentara
Health offers employees comprehensive health care and retirement
benefits designed with you and your family's well-beingin mind.
Ourbenefits packages are designed to change with you by meeting
yourneeds now and anticipating what comes next. You have a variety
of options for medical, dental and vision insurance, life
insurance, disability, and voluntary benefits as well as Paid Time
Off in the form of sick time, vacation time and paid parental
leave. Team Members have the opportunity to earn an annual flat
amount Bonus payment if established system and employee eligibility
criteria is met.Manager Population Health Analytics Norfolk
Virginia Program Process ManagementJob SummaryThis role is a part
of the population health leadership team and is responsible for
leadership and oversight of effective financial analytics and
operational performance related to Value Based Care Contracts with
Federal (CMS) and Commercial (ex. Humana, Aetna) payers. Acts as
the financial analytical lead to ensure that all state, federal,
and payer contracts are analyzed for risk and opportunity and key
performance indicators are implemented timely and correctly.
Establishes workgroups and works closely with the operational areas
to inform them of financial performance and impact within the
ongoing performance analysis. Provides functional and technical
support regarding variance from Key Performance Indicators.
Develops Key Performance Indicators and breakdowns of each of our
contracts including vendor contracts and implementations. This
leader will work with analytics and reporting teams to develop
metrics for efficiency and performance of all contracts and
implementations. Develops and implements plans to identify root
causes and actions necessary to resolve performance variances.
Facilitates development of various reporting tools to monitor
operational functions and identify opportunities for improved
performance, including development and analysis of reports. Fosters
partnerships and develops relationships with key stakeholders
internal and external to Sentara.
Being Well versed in physician reimbursement models to be able to
articulate the value of fee for value reimbursement models. Subject
Matter Expertise in MSSP and other CIN models
Regulatory and compliance knowledge of CIN safe harbors and
MSSP.
Development, tracking, and reporting of Key Performance Indicators
across Population Health in Sentara.
Financial Performance Analysis within all SQCN and SACO
Contracts.
Collaborates with Managed Care for contract analysis prior to
signature maintains measurement of identified metrics post
contract.
Develops and operates financial distribution methodologies and
management of those distributions.
Develops incentive structures to support value-based care.
Collaborates with Manager of Operations for Operational performance
measurement.
Collaborates with reporting and analytics to tie quality and
utilization performance with financial projections and
outcomes.
Must comply with all HIPAA rules and regulations. Must provide
reliable transportation.Qualifications:BLD - Bachelor's Level
Degree: Business Administration/Management (Required), BLD -
Bachelor's Level Degree: Finance (Required), BLD - Bachelor's Level
Degree: Healthcare Management/Administration (Required), BLD -
Bachelor's Level Degree (Required)CMS, CMMI Regulatory Environment,
Contract Management, Outcomes Management, Program Management,
Project ManagementSkillsSentara Healthcare prides itself on the
diversity and inclusiveness of its close to an almost 30,000-member
workforce. Diversity, inclusion, and belonging is a guiding
principle of the organization to ensure its workforce reflects the
communities it serves.Per Clinical Laboratory Improvement
Amendments (CLIA), some clinical environments require proof of
education; these regulations are posted at for further information.
In an effort to expedite this verification requirement, we
encourage you to upload your diploma or transcript at time of
application.In support of our mission "to improve health every
day," this is a tobacco-free environment.
Keywords: Sentara, Norfolk , Manager, Population Health Business Analytics, Executive , Virginia Beach, Virginia
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