ACO Program Manager

Our Company

Abode Care Partners

Overview

We are seeking an experienced ACO Program Manager to join our Value Based Operations team within BrightSpring’s Population Health Services organization. We are at an exciting point where we are growing our value based offering and need an experienced ACO Program Manager to join the team. We are looking for someone that has a proven track record in building an ACO program and driving to exceptional outcomes across patients, payer, and the provider group, year over year. The ACO Program Manager is accountable for day-to-day execution of a subset of our ACOs, is an internal subject matter expert and trusted cross-functional partner. This person will be motivated by our mission to deliver healthcare the way it should to vulnerable patient populations across the country. This person is comfortable rolling up their sleeves to dive into detail and equally comfortable at the 20,000 ft level.

 

The ACO Program Manager is accountable for the day-to-day implementation and execution of the ACO program overseeing complex, cross-functional initiatives to support the overall success of the program(s). The ACO Program Manager will develop, monitor, and maintain in-depth knowledge of ACO program rules and requirements, and translate those rules and requirements into business and operational execution. The ACO Program Manager will build/revise program design and identify opportunities for program improvement, intervention, issue escalation, etc. grounded in regular performance monitoring.

Responsibilities

• Aggregate data from operations and finance teams to monitor program performance, including maintaining a dashboard of process and outcome measures for ACO performance
• Supporting the VP VBO, ensure that all required program activities are completed, and that primary care is successful in a subset of our ACOs
• Execute on ACO program requirements including member/provider communications and policy and procedure development
• Monitor and summarize CMS communications and policies to identify notices, policy or regulation changes to ACO program that may impact Primary Care
• Prepare internal and external communication materials to support ACO operations
• Engage with other team members including IT, sales, and clinical to ensure completion of ACO program requirements
• Build positive trusting relationships with internal teams to influence and support successful performance in ACO programs
• Program design and deployment of a performance management process to drive execution and target achievement for partnered network and employed providers including system-level target setting
• Identification and management of network curation opportunities

Qualifications

• Bachelor's Degree required, preferably in administration, business or healthcare related field
• Three to five years of ACO program management or related experience
• Healthcare quality management and/or transformation experience in a primary care or other value based organization
• Deep understanding of the value based care industry and knowledge of health plan business processes and operations
• Analytic skills to collect information from diverse sources and summarize the information and data to solve problems
• Strong verbal and written communication skills
• Excellent organizational and time management skills
• Proficient in systems including Microsoft Office, EHR
• Ability to work independently as well as part of a team
• Ability to comply with HIPAA guidelines
• Ownership mentality that shows up as taking action, thinking creatively, and finding iterative ways to improve
• Comfortable with ambiguity and change while simultaneously building new processes and revising existing ones
• Travel up to 25%

About our Line of Business

Abode Care Partners is a leading provider of integrated medical services caring for individuals from post hospitalization to home in various settings ranging from skilled nursing facilities, assisted living, independent living, group homes, and private homes. We bring quality medical care to seniors, people with complex conditions, special needs, and individuals with intellectual and/or developmental disabilities while increasing quality of life and safeguarding the dignity of those we serve. For more information about Abode Care Partners, visit www.abodecarepartners.com.

Salary Range

USD $100,000.00 / Year