Job Summary
Advance the requirements of business and performance improvement plans for assigned Accountable Care Networks (ACN) and large practice groups. Assist in the development and implementation of network engagement strategies linking strategic goals to the execution and renewal of alternative payment model contracts, evaluating cost and quality performance of specific providers and health systems, and identifying opportunities for improvement
Essential Functions
Responsible for contributing to the development and execution of provider strategy and solutions for assigned Accountable Care Networks. Responsible for contributing to and supporting the strategy, actively involved in the implementation of a strategic business plan; coordinating and managing overall activities and provides input in developing strategies and approaches to help providers maximize performance potential.
Analyze and monitor Accountable Care Networks performance to ensure the achievement of financial and clinical outcomes. Manage projects and implement strategies pertinent to complex Accountable Care Networks.
Actively contribute to the interdisciplinary Teams to ensure successful engagement of all parties
Oversee the implementation of payment programs, aligning economics with the business strategy to achieve lower per capita cost
Manage and implement programs to drive down the total cost of care through utilization and medical expense trend oversight.
Manage contract success through analysis of monthly reporting
Qualifications
Required Bachelor's Degree Bachelor's Degree or equivalent experience in health care administration, business administration, accounting, finance, clinical or health and human services or equivalent education and experience
Preferred Master's Degree Master's Degree or equivalent Master's degree in health care administration or business administration or other relevant degree
2 years of relevant experience of either provider network management experience, health care insurance or other health care delivery setting Required
2 years of relevant experience directly interacting in a clinical environment Preferred
Proven experience analyzing and assimilating financial and outcomes data Preferred
Experience delivering presentations to a variety of audiences Preferred
Intermediate level knowledge of Microsoft Office Suite Preferred
Physical Demands
Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
Waist to Waist > 5 lbs: Seldom up to 10 lbs
Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
Waist to Overhead > 5 lbs: Seldom up to 10 lbs
Bilateral Carry > 5 lbs: Seldom up to 10 lbs
Unilateral Carry > 5 lbs: Seldom up to 10 lbs
Pushing Force > 5 lbs: Seldom up to 10 lbs
Pulling Force > 5 lbs: Seldom up to 10 lbs
Sitting: Frequently
Standing: Occasionally
Walking: Occasionally
Forward Bend - Standing: Seldom
Forward Bend - Sitting: Occasionally
Trunk Rotation - Standing: Seldom
Trunk Rotation - Sitting: Occasionally
Reach - Above Shoulder: Seldom
Reach - at Shoulder or Below: Seldom
Handling: Occasionally
Forceful Grip > 5 lbs: Seldom
Forceful Pinch > 2 lbs: Seldom
Finger/Hand Dexterity: Frequently
Primary LocationSITE - Priority Health - 1239 E Beltline - Grand Rapids
Department NamePH - Provider Network Service
Employment TypeFull time
ShiftDay (United States of America)
Weekly Scheduled Hours40
Hours of Work8 a.m. to 5 p.m.
Days WorkedMonday to Friday
Weekend FrequencyN/A
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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Beaumont Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, or status as a qualified individual with a disability.
