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Program Director, Value-Based Care

HealthPartners
Bloomington, United Statesfull_timeVerifiedPosted 24 Jul 2024

About the role

HealthPartners is hiring a Program Director for Value-Based Care. This role leads the analysis of business operations data, performance measures, and financial metrics specific to value-based care activities. This role is pivotal in driving the strategic vision and operational success of value-based programs across the organization.

 MINIMUM QUALIFICATIONS: 

  • Education, Experience or Equivalent Combination:
    • 5+ years of related professional experience, with 3+ years of management experience. 
  • Knowledge, Skills, and Abilities:
    • Expertise with value-based program financial modeling.
    • Business and financial acumen, and interpersonal skills to effectively work within a complex organization to influence change.
    • Deep financial analysis and data modeling expertise.
    • Strong financial background with a deep understanding of provider reimbursement methodologies for professional, facility, and ancillary services, including DRG and CPT-based payment methodologies.
    • Strong creative thinking, problem-solving, and critical thinking skills.
    • Ability to work independently and to make sound business decisions.
    • Broad knowledge of the healthcare industry, including regulatory requirements and financial risk arrangements with providers.
    • Proficiency in data analytics tools and software (e.g., SQL, Tableau, Excel).
    • Experience in project management and leadership within value-based care initiatives.
  • Bachelor's degree or equivalent work experience

PREFERRED QUALIFICATIONS: 

  • Master’s degree in business, finance, mathematics, economics, healthcare administration or related field.

 ESSENTIAL DUTIES:  

  • (30%) – Responsible for the innovation and strategic development of the system-wide value-based care program and team, including the development and continuous oversight of enterprise financial models and dashboards using benchmarks and productivity measures specific to value-based programs.
  • (20%) – Forecasts provider performance in value-based programs, utilizing predictive analytics and other advanced modeling techniques.
  • (20%) – Leads all financial strategy efforts to support the value-based care program, ensuring alignment with organizational goals and regulatory requirements.
  • (20%) – Establishes and monitors budget targets within the parameters established by the corporation; identifies opportunities for improvement and assists leaders with action plans as they relate to the Value-Based Care Program.
  • (10%) – Prepares and presents financial results for leaders, providing insights and recommendations for continuous improvement. 

*Job description rankings/percentages are intended to reflect normal averages over an extended period of time and are subject to daily variances.  Quality and efficiency standards should at no time be compromised to meet the average expectations expressed above.  Job descriptions are subject to change to accommodate organization or department needs.

LEADERSHIP RESPONSIBILITY:

Role will start with indirect reports (Sr. and Prin Financial level analysts).  Position will play a significant role in leading the build (and oversight) of value-based care financial model/program for the system and the subsequent coordination/communication of both financial and care delivery leaders to achieve success. 

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.
We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.
At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.
Join us and become a partner for good, helping to improve the health and well-being of our patients, members and the communities we serve.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, nati

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