Manager, Value Programs
Job ID: R0029472 | Project Management | Full time | Charlottesville, VA
The Value Programs Manager is responsible for supporting Payment Innovation value-based program operations, including contract support needs, process development and management, training, production of clinician/hospital-specific reports, performance and payment calculations, public reporting, education and outreach, and analytics to inform program monitoring and decision making. Reporting to the Director of Managed Care Contracting, this role will participate in and provide oversight for operational components of one or more value-based programs, working closely with key internal and external stakeholders to maximize outcomes. Provides input and feedback as requested to continue to evolve the overall VBC portfolio.
  • Leads multidisciplinary teams tasked with designing, implementing, validating, monitoring, and/or providing analytic support for value-based purchasing and payment reform programs, including Calculation of performance and value-based payments

  • Provides the energy, direction, organization, and quality control needed to help keep projects on time and on budget and facilitates communications across and between internal and external stakeholders

  • Provides support for business fundamental management of existing programs, enhancements to existing programs, and new program roll-out.

  • Develops and manages toward operational schedule for value-based program system activities.

  • Works with other business partners to guide and support solution development, pilot and solution launch activities.

  • Serves as primary point of contact for key federal Value-Based Care (VBC) contracts with significant data analysis and reporting requirements, including ensuring timely and accurate completion of all federally-required program documentation

  • Supports program evaluation and due diligence prior to deal execution

  • Researches industry best practices, resource efficiency, policy/payment trends, value-based care outcomes, population health analytics tools, etc.

  • Assists with integrating data sources from future contracts into all applicable systems in conjunction with any necessary resources.

  • Acts as a tactical advisor regarding necessary internal infrastructure, capabilities, and all obstacles to contract performance.

  • Supports operations by ensuring access to timely supplemental clinical information and technical resources for relevant contracts.

  • Assists with the development of internal quality and utilization scorecards to continuously track value-based contract performance.

  • Partners with HIT to develop any practical internal technical solutions to support business and/or clinical capabilities.

  • Communicates program goals and results, advising on areas of focus, and supporting the implementation of clinical and business process changes.

  • Develops and refines quality performance scoring approaches, and developing and producing subsequent feedback reports for providers

  • Works with stakeholders to identify and document program requirements, and develops and documents work processes.

  • Coordinates clinical administrative meetings and educational sessions with necessary staff,

  • Coordinates departmental business needs and supporting the department's operations for designated programs.

  • Prioritizes initiatives based on business case parameters.

  • Other duties, as assigned.


MINIMUM REQUIREMENTS

Education:

  • Master's degree in health care administration, business and/or clinical discipline required.
  • Bachelor's degree and substantial experience may be considered.

Experience:

  • 3+ years of experience in a variety of healthcare settings, with two of those years demonstrating direct project leadership
  • Successful track record of building operational processes and workflows, preferably in support of value-based care contract outcomes delivery
  • Experience in collaborating with both senior clinical and business executives to deliver clinical and financial outcomes
  • Ability to manage within program guidelines and resource allocations
  • Experience working with technical teams to collaborate on scalable solutions to support business objectives.

Preferred Experience:

  • Advanced knowledge of value-based care reimbursement models and pay-for performance programs in the commercial and governmental sectors, particularly Medicare value-based purchasing and alternative payment models
  • Successful track record of building operational processes and workflows in support of value-based care contract outcomes delivery

Licensure: None
Skills:

  • Excellent written and oral communication skills, including an ability to explain observations and findings to diverse stakeholder audiences

  • Comfortable prioritizing projects and workloads based upon the needs of the organization within a rapidly expanding environment

  • Able to form strong working relationships and be highly collaborative across multiple internal and external stakeholders;

  • Ability to prioritize efforts and influence leadership regarding broader needs of the organization;

  • Strong analytical and critical thinking skills, including comfort with analyses to support data-driven recommendations.

  • Demonstrated ability to lead activities, manage tasks, and coordinate the work of multidisciplinary teams to deliver high-quality work on time.

  • Strong organizational skills and high level of attention to detail as well as the flexibility to manage multiple priorities, sometimes simultaneously, under deadlines

  • Strong track record of problem and issue resolution


PHYSICAL DEMANDS

This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.


COVID Vaccination Requirement

Due to the scope of President Biden's Executive Order 14042 issued in early September, all University employees, including remote employees, must receive their final vaccination dose by January 4, 2022, unless they have a University-approved religious or medical exemption. The University has updated policy SEC-045 to reflect these new requirements.

If hired by the Academic Division, excluding School of Medicine, School of Nursing, UVA Physicians Group, and the Health Systems Library, you will be required to provide proof of vaccination or be willing to be vaccinated by January 4, 2022. Academic employees may apply for a University-approved medical or religious exemption.

Note: Some medical and safety-sensitive positions require vaccination and are not eligible for an exemption. For more information on how vaccination requirements will apply to you, please visit the UVA New Hire Vaccination Requirements webpage.

Tina Rosson
Tina Rosson
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Charlottesville, VA
Charlottesville, VA 22903
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Tina Rosson
Tina Rosson
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Working here.

Since 1979, UPG has been the clinical partnership group managing, growing and providing direct patient care for all UVA entities. This strategic partnership allows UVA to expand on education, technology, diagnostics, resources and facilities while the teams at UPG can focus on managing and delivering high-quality, multi-specialty care.

The expansive network of UPG providers and clinical support teams work together to deliver world-renowned care to patients at UVA Medical Center in Charlottesville and in 24 primary and specialty care clinics located throughout central and northern Virginia.

Quality of Life

Charlottesville, Virginia is one of the nation’s most charming and picturesque places to live and work. Our area boasts many excellent restaurants, wineries and craft breweries; historic sites; Shenandoah National Park and Skyline Drive; and a great selection of homes in welcoming neighborhoods, as well as urban and rural locations. Public transportation is excellent, and you’re just a short drive from the beach or Washington, D.C.