Manager, Value Based Performance

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.
A Brief Overview
The Manager, Value Based Performance is responsible for the evaluating new value-based opportunities, monitoring the performance in existing value-based arrangements and enhancing Stanford's analytical tools around the value-based performance levers across the enterprise. They will work closely with clinical, operational, and analytical stakeholders throughout the organization to help inform the highest opportunities for value-based performance optimization. This role will report to the Director, Value Based Contracting.
Locations
Stanford Health Care
What you will do

• Performance Management

• Become a subject matter expert to the organization on value-based economic and financial models, assessing the impact of contract terms and provisions on strategic and operational planning. Key responsibilities include:

• Maintain Value Based Contract Performance Financial Models to project contract performance, highlight the impact of key terms within the contract, and conduct scenario modeling of potential changes to the terms of the agreement

• Facilitate the collection, review and presentation of value-based contract performance data for the accountable care Joint Operating Committee (JOC) meetings, Board/Leadership meetings and ad hoc as necessary to promote new clinical strategies or value-based incentive opportunities

• Collaborate with analytics to enhance our internal dashboards to derive areas of high opportunity efficiently and effectively in our value-based contracts

• Collaborate with operation and clinical team members to inform optimal interventions based on expertise of financial impact of key performance drivers and operational feasibility of the interventions

• Coordinate the exchange of value-based performance data files including claims files, membership files and settlement reporting via the CMS and Managed Care portals (when applicable)

• Support vendor partnerships regarding value-based performance levers, performance projections and clinical analytics

• New Opportunity Evaluation

• Support the preparation, review, and presentation of value-based contracting opportunities for the enterprise. Key responsibilities include:

• Review CMS policy changes and their impact to the enterprise-wise value-based footprint.

• Design Value Based Contract Performance Financial Models for new value-based programs/contracts to gain shared understanding of the key economic levers and help communicate the parameters of the program across the enterprise

• Centralize requirements for hospital related Managed Care quality programs, CMS hospital-based programs, and Center of Excellence requirements

• As necessary, assist the Managed Care team in understanding optimal economic terms in the value-based contract negotiation/renewal process

• Explore value-based opportunity with Medi-Cal managed care organizations

Education Qualifications

• Bachelor's Degree healthcare administration or related field Required
  Master's Degree Preferred
  3-5 years experience in Healthcare and 1-2 in Value Based Care, specifically

Experience Qualifications

• Have an understanding of, and develop expertise in, all value-based payment models across all lines-of-business including commercial, Medi-Cal, and Medicare as well as Direct-to-Employer and ASO/Self Insured lines of business
  Strong critical thinking skills, including the ability to simplify complex strategic and financial concepts for a variety of audiences
  Advanced leadership and communication skills to effectively operate in the complex, matrixed environment of an academic health system
  Appreciation of cultural diversity and sensitivity towards target population.
  Excellent presentation skills for both clinical and non-clinical audiences.
  High degree of initiative, professionalism, judgement and discretion

These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family’s perspective:

• Know Me: Anticipate my needs and status to deliver effective care

• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health

• Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $64.58 - $85.57 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.