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The Senior Strategy Advancement Professional provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

CenterWell is seeking a Senior Strategy Advancement Professional for its Accountable Care (ACO) business. This role will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and future models. Under general direction and supervision from the ACO Director, the Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. This individual will work closely with leadership and cross-functional teams to manage all aspects of ACO operations including program administration, contract oversight, process, performance improvement, compliance, governance, training, and more. Additionally, this role will assist with ad hoc reporting, modeling and analysis, and general strategy support overseeing policy, government relations and ACO planning support. Specifically, this role will be responsible for ensuring successful administration of the ACO REACH program and managing ACO participation for CenterWell’s wholly owned provider group segment. This position requires an in-depth understanding of the healthcare industry, including value-based care, Medicare, population health, Accountable Care Organizations (ACOs), medical group management / practice management, health plans / insurance, and Management Service Organizations (MSOs).

ESSENTIAL DUTIES:

• Responsible for monitoring and analyzing relevant issues that will impact the organization and inform of necessary / required actions initiated by CMS

• Oversee rules and regulations of ACO programs as outlined in model Participation Agreements; liaise with CMS on day-to-day program administration

• Responsible for obtaining and managing documents from regulatory agencies and / or participating providers accurately and timely

• Support accurate paper and electronic fillings as required by program; coordinate with cross-functional teams to ensure compliance with filings

• Assure that standards of practice and policies are compliant with the ACO contractual requirements and other contractual and regulatory guidelines and standards

• Ensure ACO programs are administered and configured and loaded properly; oversee key operational processes; identify opportunities for performance improvement, and provide regular performance updates

• Oversee ACO wholly owned participant provider segment including key processes, programs, and performance; liaise with market teams

• Manage ACO governance process, including the Center Well ACO Board

• Provide ACO strategy and planning support; coordinate closely with M&A team on ACO integration planning for acquired provider groups

• Prepare executive level presentations that highlight business performance and synthesize opportunities

• Develop, prepare, and interpret reports. Write basic SQL queries to pull data and build reports. Coordinate with Business Intelligence Lead and support ad hoc reporting.

• Develop basic modeling and business case analysis; work closely with Finance and Data teams

• Coordinate with ACO Lead overseeing the IPA / Affiliate business segment

• Adept at forming strong relationships with diverse teams and personalities through effective trust building and collaboration; highly organized, demonstrated ability to show meticulous attention to detail

STANDARD REQUIREMENTS:

1. Supports the Mission, Value and Vision of CenterWell

2. Exhibits excellent customer service skills and behaviors toward internal and external customers and co-workers

3. Supports and participates in a collaborative team-oriented environment – cooperates and works together with all co-workers, plans and completes job duties, uses appropriate communications in sensitive and emotional situations and follows up as appropriate regarding reported complaints, problems and concerns.

4. Supports, cooperates with and demonstrates safe work practices and attitudes, follows safety rules – including universal precautions - reports and prevents/corrects unsafe conditions and behaviors, and participates in organizational and departmental safety programs.

5. Completes all required compliance st