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Director of Growth and Provider Initiatives

Amida Care

Description

Amida Care identifies key providers as those whose partnership is essential to growth and the transition to value-based contracting and quality improvement. This position is responsible for enhanced sponsor/key provider relations, value based and quality incentives pilot arrangements and major growth partnerships. This role leads the development of quality incentive and value-based contracting metrics, provider reporting and engagement, and supports providers in achieving quality incentive objectives.

ESSENTIAL FUNCTIONS
Essential functions are job duties and responsibilities that must be performed to accomplish the purpose/ goals of the job.

• Elevate and continuously enhance Amida Care’s relationship with key provider partners as described above. Plan and manage individualized partner growth plans. Support growth plans through planning and developing growth-focused initiatives in collaboration with each key provider partners.
• Own and drive execution and follow-through on internal operational activities related to sponsors/key providers, as described above, growth initiatives and programs. Ensure Amida Care commitments are met and coordinate Amida Care contact with sponsors/key providers so as to reinforce the partnership.
• Develop, cultivate and manage new relationships with sponsors and key provider partners, as described above that are critical to growth. Rebuild/reestablish strong relationships with existing partners where disjointed interaction with Amida Care may have strained relations.
• Identify requirements for selecting value-based partners and manage day-to-day oversight of quality incentive programs.
• Lead, manage and retain/hire quality staff and the on-going planning, monitoring, training, coaching, evaluation, and appraisal of staff performance and development to ensure successful achievement of goals and objectives.
• Facilitate with senior management the development and execution of contract amendments related to quality incentive programs, shared savings and risk.
• Develop and oversee reporting requirements and run daily, weekly, and/or monthly reports as needed to share with sponsors/key provider groups. Present results to value-based partners and ensure positive relations with value-based Partners.
• Maintain value-based contracts with Federally Qualified Health Centers (FQHCs)/Community Health Centers, Independent Practice Associations (IPAs), large medical groups and hospital-based Faculty Practice Plans (FPPs) on behalf of Amida Care.
• Utilize in-depth knowledge of Medicaid reimbursement methodologies, fee schedule models, financial models and analysis in development of programs that provide value and quality based metrics.

Qualifications

MINIMUM REQUIREMENTS

• Bachelor’s Degree in health care administration or business; or equivalent combination of education and relevant work experience.
• Minimum of five (5) years’ experience in health care; including at least four (4) years in provider/payor contracting with focus on value-based contracting.
• Demonstrated experience in designing and running reports, and managing data bases to support quality metrics.
• Strong knowledge of medical terminology for quality incentive programs.
• Demonstrated experience in developing and recommending potential solutions to contract, claims and provider service issues.
• Demonstrated superior interpersonal relationship skills including evidence of same.
• Strong knowledge of Microsoft Office (Word, Excel, Access, PowerPoint).
• Demonstrate understanding and sensitivity to multi-cultural values, beliefs, and attitudes of both internal and external contacts.
• Demonstrate appropriate behaviors in accordance with the organization’s vision, mission, and values.

Contact

To apply, please go to:

https://workforcenow.adp.com/jobs/apply/posting.html?client=amidacare#

Posted on 04/04/18; CVMHA ID #12000