Program Manager

Agency:

Alternate Solutions Health Network

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.

Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers. Based on this regulation, all of our employees must be fully vaccinated or have a valid exemption.

SUMMARY:

The Program Manager is responsible for ensuring Alternate Solutions Health Network (ASHN) meets and exceeds expectations and requirements of risk based programs. Risk based programs can include Centers for Medicare and Medicaid Services (CMS) program for Bundled Payments for Care Improvement Advanced (BPCI-A), incentive (upside only) contracts with payers, and risk contracts (upside/downside) with payers. It can expand to health system relationships incorporating a performance-based payment component and other similar relationships, for example with physician or other provider groups.

Understanding all contractual and regulatory elements of programs, designing necessary systems and processes to ensure performance targets are met, working across ASHN to implement those systems and processes, and establishing and providing ongoing monitoring to proactively identify potential performance issues is important. Implementing and overseeing continuous improvement programs to ensure program all program elements are achieved is also a responsibility.

To successfully accomplish these objectives, collaboration with field operations, care integration, quality, and finance among other departments is required and will build consensus, ensure alignment, and coordinate initiatives. Collaboration with health system joint venture partners, community institutions, and physicians will be critical to success.

QUALIFICATIONS:

• Risk based care programs
  • A proven track record of success managing risk based care programs
  • Knowledge of risk contract structures
  • Detailed knowledge of CMS BPCI-A
• Home health and hospice operations
  • A working knowledge of home health and hospice services
  • Experience in multi-site operations
  • A working knowledge of clinical compliance and quality
  • A working knowledge of Medicare, Medicaid and all State/Federal guidelines impact on risk based programs
• Leadership
  • Demonstrated success building collaborative relationships with enterprise and community stakeholders
  • Ability to create positive impressions and communicate effectively with a variety of people and personalities
  • Ability to influence and create followership by aligning agendas and promoting achievement of mutual goals
• Management
  • Bachelor's Degree or equivalent work experience in healthcare or business; Master of Business Administration (MBA) preferred
  • Minimum 3 to 5 years management experience
  • Manages daily based on metrics. Holds teammates accountable for their performance
  • Able to organize and systemize complex work
  • Able to multi-task and prioritize effectively
  • An active listener with demonstrated ability to lead a team
  • Excellent trainer; able to lead staff through change (e.g., new software, new processes)
• Analytics
  • Experience using advanced reporting tools (e.g., Tableau) to design, implement, and monitor reports to generate valuable insights
  • Observant and detail oriented; able to quickly discern patterns and forecast outcomes; identifies and determines root cause for variation impeding agency performance
  • Able to design and implement new processes/systems using a fact-based approach
  • Effectively engages in strategic and flexible problem solving
• Additional areas
  • Adopts and applies continuous improvement
  • Demonstrated ability to learn new software
  • Proficient in Microsoft Office (Excel, Outlook, Power Point, Visio, and Word)

MAJOR AREAS OF RESPONSIBILITY:

• Program design
  • Design key operating principles and processes for risk based care programs, ensuring efficient use of resources to achieve desired outcomes
  • Create, organize, and maintain a comprehensive set of standard operating procedures for risk based care programs
  • Package programs for implementation in agencies. Include program definition and rationale. Create implementation, training, communication, and performance measurement plans.
• Continuous improvement
  • Establish and maintain relationships across ASHN to advance risk agenda by persuading others to cooperate on adoption of new processes and policies
  • Make final recommendations and decisions on major process design elements impacting on multiple departments within ASHN, by applying judgement to incomplete and inconsistent information with limited direction provided by others.
  • Maintain a positive leadership approach while facing constantly changing problems, limited direction from others, difficult and detailed analytics, and tight time lines
• Monitoring / reporting
  • Design approach to quantify risk and monitor performance
  • Implement monitoring systems, including prospective performance estimates and early warning indicators
  • Report actual and projected results at a routine frequency
• Communication
  • Collaborate and coordinate with other departments to rationalize communication and departmental initiatives with agencies. Develop a framework and calendar to ensure consistency and alignment
  • Present to internal and external stakeholders
• Analytics
  • Integrate disparate data from multiple knowledge areas to identify patterns and formulate hypotheses for improving business
  • Perform careful analysis to minimize risks and significant disruptions of internal operations and patient care
  • Prepare monthly reports for various levels of management and agency stakeholders.
  • Perform root cause analyses on persistent and critical performance misses. Lead efforts to develop and deploy solutions
• Additional areas
  • Consistently demonstrate Core Beliefs and maintain a professional appearance and cultural fit as a company representative
  • Perform other duties as assigned

HEALTH QUALIFICATIONS:

Physical Demands: Physical demands described here are representative of requirements met by an employee to successfully perform essential job functions with or without reasonable accommodations.

Below are minimal knowledge/physical position requirements. Travel required is expected to be 25% and will consist of time spent at ASHN's corporate office in Dayton, Ohio as well as participating ASHN agencies.

Constantly (66%-100%):

Reading, Speaking, Writing English

Communications Skills

Computer/PDA Usage

Sitting

Hand/finger dexterity

Hearing/Seeing

Hearing in person

Talking in person

Vision for close work

Frequently (34%-66%)

Walking

Hearing on the phone

Talking on the phone

Occasionally (2%-33%)

Bending

Standing

Stretching/Reaching

Driving

Lifting up to 50 lbs. with or without assistance

Climbing

Stooping (bend at waist)

Distinguish smell/taste

Rarely (1% or less)

N/A

We'll help you put your passion for patient care to work. Apply today!

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

We are an Equal Opportunity Employer.