Manager, Medicaid Value Based Arrangements & DSRIP Initiatives in New York, NY



$80K - $100K


Healthcare Management


5 - 7 years

Job Description

Serve as subject matter expert on NYS DOH MRT Initiatives such as DSRIP and Medicaid VBP reform. Develop and socialize internal materials/tools that support the departments in meeting Medicaid requirements and ongoing changes to Medicaid requirements to meet VBP targets, objectives, and compliance. Select Medicaid VBP quality measures and monitor performance-to-target progress throughout contract measure year for all VBP arrangements in collaboration with Care Coordination and Quality. Support contact payment methodology and distribution requirements for Medicaid LOB. Actively participate and collaborate in the development of DSRIP and Medicaid VBP strategies on plan and State policies to ensure EmblemHealth's position and advocacy. Develop and implement VBP approach for Health Homes Program partnerships. Enhance and implement process to ensure consistency and accuracy across VBPTR reporting periods. Manage the day-to-day operation and performance of the Medicaid Reporting Specialis

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Valid through: 2020-1-17

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