Program Manager Value Based Care

Overview

Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients.

You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.

HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives.

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Join us. Let’s go beyond expectations and transform healthcare together.

HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area.

The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more.

With nearly 14, team members, 3, affiliated providers and hundreds of volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at .

Responsibilities

Job Summary

Organize and oversee the programmatic, compliance, and operational activities of the HonorHealth value-based care (VBC) programs.

This role acts as a subject matter expert, leading the planning, direction, and coordination of value-based care programs to support internal initiatives relevant to the programs.

The Manager will oversee the processes related to value-based care program compliance, reporting, external reporting, education, and key stakeholder engagement.

Closely collaborating with teams across the organization, especially the Payor Contracts Team, program participants, and care delivery teams to improve patient outcomes, quality of care, and program performance.

Program Development : Collaborates with internal and external stakeholders to assist in the selection of VBC programs.

Assists in the evaluation of VBC program opportunities and aligns operational strategies to improve value-based care results and outcomes per program parameters.

Implements and monitors value-based care initiatives to ensure alignment of overall VBC strategies. Works with Payor Contracts, Government Affairs, and Quality / Safety leadership to implement the strategic direction of programs and program initiatives.

Program Management : Oversee implementation of programs and improve patient outcomes relevant to the value-based programs.

In collaboration with Payor Contracts, creates timeline, and plans to execute projects or initiatives, managing team progress against those timelines.

Optimizes and directs VBC operational processes. Ensures compliance with VBC program requirements, data submission, and implements improvement actions.

Communication and Collaboration : Develops strong communication and collaboration with internal and external VBC stakeholders.

Develops communication and education materials for VBC program and initiatives. Attends relevant committee and provider meetings.

Supports Payor Contracts engagement initiatives and related VBC initiatives. Develops educational materials and content for internal and external parties including website updates, newsletter articles, webinar content, and other communications.

Monitoring and Compliance : Value-based care and alternative payment model (APM) Program Expertise (i.e. CMS Pay for Performance, Medicaid VBC programs, Payor Contract incentives, meaningful use, etc).

This includes keeping abreast on VBC program specifications, program changes, APM program overlap and interplay, etc. Identifies and analyzes new regulations, regulatory memos and program requirements for organizational impact and implementation.

Ensures compliance with VBC programs, including but not limited to incentives included in Payor Contracts (Medicare / Medicaid, commercial plans) and CMS.

Operational Support : Manages quality reporting initiatives related to VBC and APM initiatives. Builds reports, tracks, trends, and performs analysis on program data and evaluates impact on performance.

Manages VBC program participant lists, contracts, and agreements in collaboration with Payor Contracts and ICP where relevant.

Qualifications

Education

Bachelor's Degree In healthcare related field, business management, Information Technology, or relevant field Required

Experience

3 years Experience as Project Manager, Project Analyst, Quality Improvement, or Population Health in Healthcare industry Required