LHC Group. Inc

  • Value Based Care Program Manager

    Location : Facility Name
    LHC Group Inc Home Office
    Requisition ID
    2019-67595
    Location : Postal Code
    70508
    Position Type
    Full-Time
    Work Schedule
    Normal (Based on FT, PT, PRN)
    CATEGORY
    ADMINISTRATIVE
    Location : City
    Lafayette
    Location : State/Province
    LA
  • Overview

    The Manager of Value Based Care is responsible for the successful negotiation and implementation of the Company’s value based care programs with a risk bearing payor source which may include Commercial and Medicare Advantage payors, ACOs, and hospital or physician partners.  This responsibility includes participating in and supporting contract negotiations and reviewing proposed agreements. A primary focus of this position will be to develop tracking mechanisms to assess performance across value-based contracts, and working with operations teams ensure optimal performance on key measures.

     

    LHC Group is the preferred post-acute care partner for hospitals, physicians and families nationwide. From home health and hospice care to long-term acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home. More than 60 leading hospitals and health systems around the country have partnered with LHC Group to deliver patient-centered care in the home. More hospitals, physicians and families choose LHC Group, because our 30,000 employees in 35 states are united by a single, shared purpose: It's all about helping people.

    Additional Details

    • Will work with payors, ACOs, and hospital or physician groups to secure value based agreements. Responsible for successful negotiation and execution of agreements.
    • Works directly with payers, providers, and other organizations to identify and establish best practices for achieving optimal results in value based programs for post acute care. Working with operational teams, will coordinate and participate in regular Joint Operating Committee (JOC) meetings with payers. Work with payors to establish meeting agendas, coordinates internal cross-departmental internal meetings to prepare for payor meetings.
    • Communicates new programs to senior leadership and operational stakeholders to ensure high likelihood of successful achievement of program goals. Continually evaluates outcomes and develops tactics for improvement.
    • Must work with IT and other internal departments to develop tracking mechanisms to identify patients attributed to a value based program, assess performance relative to goals, and report to external and internal stakeholders. Performance goals include financial and clinical measures.
    • Where necessary, provides project management or appropriate oversight to implement key initiatives
    • Serves as a subject matter expert on local and national managed care issues trends related to care transformation innovative payment models. Identifies contract and program opportunities, regulatory changes, industry practice changes that can potentially impact revenues, and communicates accordingly.

    Qualifications

    Formal Education: Bachelor’s degree in Healthcare, Business, Health Administration, or Health Policy from a 4 year college or university is required.  MBA or equivalent is preferred. 

     

    Experience:  Must demonstrate at least 5 years of related healthcare experience 

     

    License, Registration and/or Certification Requirement: Clinical license preferred

     

    Experience Desired

    • Previous project management experience required.
    • Requires deep knowledge of job area typically obtained through advanced education combined with experience.
    • Proven experience in the successful negotiation of contract rates and terms with managed care and provider organizations.
    • Typically, viewed as a specialist within discipline.
    • May have broad knowledge of project management.

    Skill Requirements

    • In-depth understanding of provider contracting, provider development, delivery system design, quality and medical cost management, contracting/reimbursement, etc.
    • Ability to interact effectively with all stakeholders (internal and external) in the pursuit of common goals and objectives regarding value based care delivery.
    • Must possess sharp analytical skills and strong organizational skills, have excellent communication skills and have the ability to create clear and articulate correspondence and documents.
    • Independent thinking, resourcefulness and excellent problem-solving skills are required.
    • Must be a team player comfortable working in a fast-paced organization.
    • Must have the ability to teach complex concepts to users at all levels.

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