Manager, Population Health & Value Based Care

Job Description

Company Description

Primary PartnerCare is a physician-driven organization comprising MSO, MSSP ACO, Medical Group & IPA. Established in 2012, we support independent physicians in meeting healthcare reform demands by providing necessary tools and resources. Our focus is on optimal health outcomes, preventive care, and leveraging technology and innovation to improve patient and physician experiences has resulted in year over year proudly ranking as the #1 Medicare Shared Savings Program in New York State.

Role Description

We are seeking a manager to expand and serve as the performance manager for our physicians and the administrative manager for 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 teach and coach and have high expectations of our doctors
• 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
• 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