City/State
Glen Allen, VA
Overview
Work Shift
First (Days) (United States of America)
Sentara Health Plans is currently hiring a Value Based Care (VBC) Manager!
This is a Full Time position with day shift hours and great benefits!
Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington (state), West Virginia, Wisconsin, Wyoming!
Job Requirements:
- Required: Healthcare - 5 years
- 3+ years of value-based program design and methodology development
- Experience designing and operating multiple VBC arrangement types (bundles, capitation, shared savings/risk) preferred
- Experience from the payor and provider side preferred, one required.
- No direct reports; This is an individual contributor role
- Required: Bachelor's Level Degree
- Travel to Virginia approx 2x a year/only as needed
Job Responsibilities:
- Value Based Care Manage works closely with key internal and external stakeholders to ensure model design aligns with strategic vision and health plan objectives. At the direction of the Director, Value Based Care, develops, implements, and deploys Value Based Care (VBC) models across all lines of business. Value Based Care Manage provides input and feedback as requested to the VBC Provider Enablement and VBC Analytics teams to continue to evolve the overall VBC portfolio.
- The Value Based Care Manager reports to the Director, Value Based Care. Responsible for the development and growth of Value Based Care models including but not limited to bundled payment models, pay for performance, shared risk, and full risk models.
Benefits: Sentara offers an attractive array of full-time benefits to include
Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B , 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks and more.
Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.
For applicants within Washington State, the following hiring range will be applied: $91,313.04 to $126,016.80/annually.
Sentara Health Plans is the health insurance division of Sentara Healthcare.
Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.
With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-8626.
#Indeed
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Talroo – Health Plan
Value Based Care, VBC, Bundled payment models, Pay for performance, Shared risk, Full risk models, MCO, Managed Care, Health Plan, Data, Database, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington (state), West Virginia, Wisconsin, Wyoming
Job Summary
The Value Based Care Manager reports to the Director, Value Based Care. Responsible for the development and growth of Value Based Care models including but not limited to bundled payment models, pay for performance, shared risk, and full risk models. Value Based Care Manage works closely with key internal and external stakeholders to ensure model design aligns with strategic vision and health plan objectives. At the direction of the Director, Value Based Care, develops, implements, and deploys Value Based Care (VBC) models across all lines of business. Value Based Care Manage provides input and feedback as requested to the VBC Provider Enablement and VBC Analytics teams to continue to evolve the overall VBC portfolio.
Qualifications:
BLD - Bachelor's Level Degree (Required)
Healthcare
Skills
Active Learning, Active Learning, Active Listening, Communication, Complex Problem Solving, Coordination, Critical Thinking, Judgment and Decision Making, Leadership, Learning Strategies, Mathematics, Mgmt of Financial Resources, Mgmt of Material Resources, Mgmt of Staff Resources, Microsoft Excel, Microsoft Word, Monitoring, Persuasion, Project Management, Quality Control Analysis, Reading Comprehension, Science, Service Orientation, Social Perceptiveness, Speaking {+ 5 more}
Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
