Overview

The Value Based Care Quality Program Manager acts as a strategy and subject matter expert to the Health Systems design team reporting to the Vice President, Value based Care Operations & Transformation. The VBC Quality Manager is responsible for creating a quality strategy within each area and building a long term vision with teams in and outside of Beebe Healthcare to succeed in quality outcomes, such as mapping out technology needs and enhancements, partnering with payers, and identifying and establishing tactics with internal stakeholders for sustained improvement. The VBC Quality Program Manager will be responsible for coordinating strategy and operations for MIPS, MSSP, STARs programs, etc. as well as commercial value-based care programs. The VBC manager will serve as the subject matter expert for the Health Systems design team.

Responsibilities

• Build strategy on key quality and clinical opportunity areas by understanding the details of Beebe's payer contracts and the quality outcomes they require and become the internal subject matter expert on areas of clinical quality as needed:

-Medicare Shared Savings Program

-Medicare Advantage STARs Programs

-Commercial Quality Programs

• Design workflows to meet quality outcomes and partner with internal teams to implement including building dashboards for HEDIS/ACO quality measures
• Assist in practice optimization committees with providers
• Facilitate sharing best practices between ambulatory and acute services
• Collaborate with external payer team members on strategies related to annual care visits and quality gap closure
• Manage and support relationships between internal stakeholders with external payers
• Work with identified teams to support key processes or areas of improvement to drive performance in value based agreements
• Working knowledge of EHR quality management programs
• Serve as the lead and subject matter expert for PCMH transformation and sustainability
• Perform other duties as assigned

Qualifications

Bachelor's degree preferred; Master's degree in Healthcare Administration, Nursing or Public Health preferred

5-7 years of relevant working experience

Healthcare experience required; Experience with Quality programs such as PCMH, MSSP and HEDIS strongly preferred

 

Credentials Education Other Information

 

 

EntryUSD $73,112.00/Yr. MaxUSD $113,318.40/Yr.