Value-Based Payment Program Manager

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!

This position will be responsible for coordinating the scalable running and expansion of Advanced Payment Models (APMs) and other Network Strategy programs. As Program Manager, you will drive the success of APMs and other programs creating tactical program implementation plans, communicating plans to stakeholders, and collaborating with cross-disciplinary teams in the ongoing execution of these plans. You will be the main point of contact for provider engagement and operational teams on APMs, providing clear business requirements to guide process development and improvement, monitoring execution, and addressing practice-specific needs and opportunities. You will evaluate the ongoing performance of APMs against desired results and identify opportunities, both at the practice and at the model level, for improvement.

This position will support our network contracting team and strategic provider engagement team with subject matter expertise on APMs to enable model adoption and practice success; this will include direct involvement in provider communication as needed. You will also contribute to the strategic roadmap for APMs and other Network Strategy programs, informing direction with analysis of the value created by models and programs for our customers, network providers, and MVP.

This is a hybrid position, based out of the Schenectady, NY office.

Essential job functions• Define business requirements for the successful execution of APMs and other Network Strategy programs (e.g., payment model configuration, internal and external reporting, performance measurement data collection, payment and incentive calculations and administration, APM budgeting).• Develop and maintain a program/project implementation plan and tracking documentation, always providing visibility to leadership.• Communicate with cross-disciplinary teams on all levels driving understanding, buy-in, and support of key initiatives and processes required for implementation.• Collaborate with stakeholders across the enterprise to ensure program implementation plans are executed timely and accurately.• Work cross-functionally to assure that initiatives and associated processes and developments are understood by all stakeholders. Identify and resolve issues, utilizing tact and diplomacy.

Other duties & responsibilities• Anticipate and work to overcome operational and implementation barriers while maintaining objectivity and considering impact of changes to all stakeholders involved in the end-to-end process.• Monitor APM performance and identify opportunities for improved design to better achieve model objectives. • Monitor practice-level performance in APMs and identify opportunities for practice engagement teams to work with practices on improved performance.• Provide subject matter expertise to practice engagement teams in fielding and addressing practice specific questions, issues, and needs regarding APM success, including direct practice communication as needed.• Develop and maintain documentation on best practices for practice success in APMs.• Provide subject matter expertise to operational teams in fielding and addressing questions, issues, and needs related to APM execution.• This is a new and evolving position and as the result of market changes, organizational priorities and other changes, position may change to meet organizational needs and new opportunities.• Perform other related duties as assigned.

POSITION QUALIFICATIONS

Education/Degree:

Bachelor's degree in Business Administration or other related and applicable field.

Master's degree preferred.

Experience: • Minimum of 10 years of relevant experience in health care across the areas of payment model or provider incentive program implementation, business operations and/or business process improvement. • Experience with Alternate Payment Models (APM) and Population Health strategies to aid in the transition from Fee-For-Service to Value-Based Payment (VBP) including capitation models, quality improvement programs, low-value care reduction programs, total medical expense initiatives, bundled payments, shared risk contracts, etc. • Knowledge of Six Sigma and Lean Office principles preferred but not required.

Skills:• Willingness and ability to embrace and express MVP's core values: Be the difference for the customer, Be curious, Be humble.• Proven success in implementing cross functional and strategic initiatives• Knowledge of and experience in project management methodologies• Ability to analyze program needs and determine resources needed to meet objectives and solve problems spanning multiple interdisciplinary teams• Strong interpersonal and communication skill, able to convey key messages and influence stakeholders both internally and externally• Strong analytical skills, able to work with data to perform basic analysis, interrogate data to answer questions, and evaluate payment model impact/comparison for practices• Strength in problem-solving based on experience, subject matter expertise, and objective data analysis • Proven leadership skills• Strong knowledge of Microsoft Excel, Word, and PowerPoint. Commitment to learning quality tools/concepts like Total Quality Management, Lean, or 6-Sigma.• Demonstrated experience and commitment to handling complex, sensitive, and confidential information• Ability to work under pressure with urgency and speed • Demonstrated integrity, values, principles, and work ethic

Physical demands/Working conditions:• Office environment.• Available to work after work hours to support required meetings or project deadlines as needed.

About MVP

MVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at [email protected]

At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

In addition, we offer a comprehensive benefits package that includes:

• Considerable paid time away from work including PTO (Paid Time Off), sick time, service time off, paid holidays, and floating holidays, allowing you to take time off when it suits you best.
• Competitive 401(k) employer matching and profit-sharing program to help you save for your retirement.
• Low premium health benefits including medical, dental, and vision coverage to support your well-being and that of your family.
• Life insurance and disability coverage to ensure financial security for you and your dependents.
• An array of optional benefit plans such as accident insurance and specified disease coverage to protect you from the unexpected.
• Full tuition reimbursement (up to the IRS limit) for approved courses and programs that support continuous learning.
• A best-in-class employee Well-Being program to support all dimensions of your health and wellness.

MVP Health Care analyzes the latest market data to determine employee compensation. Compensation figures listed in a job posting are subject to change as new market data becomes available. The salary range, other compensation, and benefits information is accurate as of the date of this posting. MVP Health Care reserves the right to modify this information at any time, subject to applicable law.

More detailed information about total compensation and benefits will be provided during the hiring process.

Please apply and learn more - including how you may become a proud member of our team.

Other details

• Job Family Network Management & Development
• Pay Type Salary
• Min Hiring Rate $93,667.00
• Max Hiring Rate $134,880.00

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