$150K — $200K *
General Purpose of Job:
The Manager of Clinical Integration (CI) is responsible for the transformation of care delivery through the development and implementation of value-based care concepts. The objective of CI is to transform the delivery of healthcare services, emphasizing value and efficiency through increased connectivity, enhanced coordination of care, standardization of work, and implementation of best practices amongst Sparrow Care Network (SCN) physician offices.
The Manager of CI, in coordination with the Population Health Service Organization (PHSO) team, has primary responsibility for understanding and maintaining compliance with SCN payer-based programs and value-based agreements. In addition, the Manager will have oversight for all aspects of network engagement, including SCN’s Primary Care Chapters, Patient-Centered Medical Home (PCMH) development, as well as development and coordination of CI communications across the network.
In working toward the advancement of the objectives of SCN, the Manager of CI will:
Work Experience• At least five years work experience in physician network operations. • At least ten years work experience in the health care industry. • Experience in the management, leadership, and/or development of a managed care entity, such as a CIN or other organization that has managed risk and has significantly engaged in population health clinical programs and services.Education• Bachelor’s degree, preference in accounting, business, finance, or related healthcare field.Specialized Knowledge and Skills• Excellent interpersonal, motivational, organizational, and communication skills. • Experience managing projects that successfully achieve budget and timeline goals. • Experience in budgeting, forecasting, and financial reporting. • Basic understanding of report writing and the analytical development process. • Experience in preparing and delivering written and oral reports. • Knowledge of: o Blue Cross Blue Shield of Michigan Physician Group Incentive Program o CMS Accountable Care Organization Program o Healthcare industry and operations, within medical groups, hospitals, and related settings across the continuum of care. o Chronic care delivery models, such as Wagner Chronic Care Model and the Patient-Centered Medical Home Care. o Value-based payment models, including an understanding of services impacted by managed care and health reform legislation. • Working knowledge of the development, implementation, and/or oversight of quality improvement efforts (i.e. knowledge and application of six sigma, Lean, total quality management, continuous quality improvement, and/or similar methodologies.) • Experience in the development, implementation, and/or oversight of provider incentive distribution models and financial incentive programs (e.g. pay-for-performance, gain sharing, shared savings, co-management). • Ability to facilitate difficult conversations with physicians and office leadership regarding performance concerns. • Demonstrated ability to plan, organize, prioritize, and manage multiple ongoing, concurrent projects. • Able to lead and work in collaboration with SCN Board Members and executive teams
Sparrow Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.
Valid through: 2/17/2021
$120K — $140K + $8K bonus
11 days ago