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CommonSpirit Health Network Performance Manager in CLIVE, Iowa

Overview

Reporting to: Cody Zoss, PHSO Div. Director of Operations

Supervisory Responsibility : No

FLSA Status: Exempt

Department: MercyOne PHSO

Mission Statement:

MercyOne serves with fidelity to the Gospel as a compassionate healing ministry of Jesus Christ to transform the health of our communities.

MercyOne Vision Statement:

MercyOne will set the standard for a personalized and radically convenient system of health services.

MercyOne Cultural Beliefs:

Be ONE

I benefit from and strengthen MercyOne.

Personalize Care

Your experience. My responsibility.

Own It!

I own my actions to deliver our key results.

Improve Daily

I make improvements every day for those we serve including each other.

Innovate

I imagine and embrace bold new ideas to revolutionize health.

Responsibilities

Job Summary:

Provides oversight for PHSO Program Agreements (i.e. value/risk-based payer agreements) and leads strategic direction to achieve financial targets. Responsible for financial management and key performance indicator tracking for all PHSO operations. Serves as a key leader, representing PHSO in all payer meetings and liaising between PHSO administration, Chapters, MercyOne Partnered Provider organizations, and payers.

Essential Position Expectations:

Contract Performance

  • Develops and maintains subject matter expertise in PHSO Program Agreements, including value/risk-based terms and quality gates.

  • Collaborates with PHSO and Chapter colleagues, and Medical Group leadership, to set and drive annual quality improvement and care management strategies to achieve financial success.

  • Employs detailed project planning, ongoing project management, and frequent clinician and staff education on contract requirements.

  • Facilitates the development, maintenance and communication of monthly contract performance reports.

  • Prioritizes initiatives that optimize total contract value and represent highest return on investment (ROI).

  • Collaborates with PHSO colleagues to develop prioritized, actionable reporting for patient engagement and care management teams.

Payer Relations

  • Represents PHSO in all JOC/payer meetings.

  • Gains access to payer reporting systems to timely extract/download member rosters, quality reports, and financial reports.

  • In collaboration with PHSO colleagues, responsible for creating payer reporting packages and reporting out to payers at an appropriate cadence.

  • As requested, facilitates supplemental data/clinical data exchange requirements between PHSO and payer.

Financial Management

  • Directly oversees PHSO invoicing and financial transactions, including receipt of value/risk-based revenue and delegated service revenue.

  • Produces monthly financial and key performance indicator reports for PHSO governance structures.

  • Oversees annual financial reconciliation, including ensuring compliance with governance criteria for distributing funds.

  • Identifies, recommends, and implements changes that improve productivity and/or financial performance.

  • Assists in annual budgeting, including financial forecasting; and adjusts projections based on monthly variance.

  • Overall management of PHSO finances, including resources and team development.

Knowledge & Skills:

  • Experience in PHSOs or ACOs and knowledge of value-based payment structures is preferred.

  • Experience in revenue cycle management and knowledge of budgeting processes is preferred.

  • Experience working with health care contracts and knowledge of payer contracting is preferred.

  • Experience providing analysis of health care data (e.g. claims, clinical) and knowledge of EMRs is preferred.

  • Strong demonstrated presentation skills.

  • Strong demonstrated proficiency in Microsoft applications required.

  • Strong demonstrated verbal communication and critical thinking skills required.

  • Excellent planning and negotiating skills.

  • Excellent project management skills.

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

Education:

Bachelor’s degree with an emphasis in Business, Finance, Health Care or related field required. Master’s Degree strongly preferred.

Experience:

A minimum of three (3) years’ experience in health care. A combination of experience and education will be considered.

Licensure or Certification:

None

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.

External hires must pass a post offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances .

If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request . We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).

CommonSpirit Health participates in E-verify.

Requisition ID 2020-137905

Employment Type Full Time

Department Mercy Business And Administrat

Hours Per Pay Period 80

Facility MercyOne Des Moines Medical Center

Shift Day

Standard Hours Monday - Friday (8:00 AM - 5:00 PM)

Location IA-CLIVE

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