Sun River Health
Location: all cities,NY, USA
Date: 2024-12-12T08:47:46Z
Job Description:
SummaryThe ACO Executive Director will provide day-to-day oversight to Family Health ACO. This position will facilitate and support ACO governance, operations, and communication strategies, including the development and maintenance of project plans, quality initiatives, cost containment, and patientexperience initiatives. This role involves working closely with healthcare providers, payers, and other stakeholders to improve patient outcomes, enhance quality of care, and reduce healthcare costs.ResponsibilitiesGovernance Maintains knowledge regarding ACO policies and procedures, governance structure and regulatory requirements through ongoing research and regular attendance at training webinars.Utilizes standard project management tools and principles to define and manage project scope, monitor timelines and deliverables, and communicate and identify pathways to resolve risks and barriers.Oversees and maintains effective communication with stakeholders to promote collaboration and achieve shared objectives using communication plans, status reports, dashboards, and various media sources tailored to the audience.Effectively plans and facilitates meetings of varied participants using standard meeting management tools and techniques (e.g. agendas, meeting roles, ground rules, minutes, action item tracking) including support of meeting logistics for ACO Board of Managers and committees. Quality and Data Leads process improvement, new workflow development, enhancement through support of and collaboration with practices to drive performance on contract quality metrics.Establish and monitor key performance indicators (KPIs) to track the ACO's performance, analyze data, and identify areas for improvement in collaboration with ACO committees.Works collaboratively with FQHCs and providers to develop campaigns to address gaps in care and grow ACO attribution and provide feedback and adjustment as needed to ensure success.Leads planning efforts to enable Family Health ACO to achieve high performance in quality metrics and ensure compliance with regulatory requirements.In collaboration with FQHC members' respective analytics teams, develops comprehensive operation for clinical data acquisition, reporting, and workflow development in support of quality measure improvement. Compliance Lead and support the Compliance Committee in creating and maintaining Family Health ACO's Compliance Plan and provide regular reports to the Board of Managers.Cooperate with all CMS monitoring and oversight requests and activities.Ensure compliance with all applicable state requirements regarding risk-bearing entities, ensure LLC filings are up to date. Budget and Finance Support the ACO's Finance Committee in developing an annual budget and monitoring adherence to that budget.Identify opportunities for cost savings and revenue enhancement. QualificationsRequired:3+ years in healthcare, with value-based care models (CMS MSSP, ACO REACH, Commercial full or partial risk contracts).Demonstrated understanding of healthcare clinic models, HEDIS measures, STAR ratings, documentation processes, and strategies to close gaps in care and support caring for high and rising risk patients with multiple chronic conditions.Strong expertise with MS Excel, MS Teams, and PowerPoint.Preferred:5+ years in healthcare operational management.Master's in a related field preferred.Demonstrated understanding and experience with SQL queries and analytics, understanding of risk stratification models, and the ability to translate data-driven insights into clear clinical priorities and interventions.Salary Range: $125,000-150,000/yearWork Location: Remote - Tarrytown, NYJob Type: Full-timePay: $125,000.00 - $150,000.00 per yearWork Location: In person#J-18808-Ljbffr
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