Yale New Haven Health System

VALUE BASED PROGRAM MANAGER

US-CT-Hamden
Job ID
64089
Department
ADMINISTRATION
Category
MANAGEMENT/LEADERSHIP
Position Type
Full Time Benefits Eligible
Scheduled Hours
40
Work Schedule
DAYS
Work Days
MON-FRI
Work Hours
8:00 AM - 5:00 AM
Work Shift
NONE
Requisition ID
2017-17241

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values—integrity, patient-centered, respect, accountability, and compassion—must guide what we do, as individuals and professionals, every day.

The HCC/Value Program Manager, under the direction of the Director of Value-based Programs, leads all activities associated with HCC coding at NEMG in order to optimize revenue in shared savings and risk arrangements. Duties may include development of education programs for providers, organizing seminars, webinars and other training through internal or external trainers, working with payers to obtain risk reports and recapturing reports to then operationalize work plans to improve accurate diagnostic coding. Provides materials and analysis to the Director in order to build strategy for improving accurate HCC capture and develops, manages and monitors action plans. The Program Manager will work collaboratively with Health Plans and assure appropriate submission of data to CMS and HSS to improve overall accuracy of HCCs. Under the direction of the Director of Value-based Program, the HCC/Value Program Manager is responsible for day-to-day oversight of specific defined functional areas as defined within role responsibilities as outlined below

EEO/AA/Disability/Veteran

Responsibilities

  • 1. Program Management
    • 1.1 Oversight of NEMG and associated payer programs that promote accurate and complete documentation of patient acute and chronic conditions.
  • 2. Leadership
    • 2.1 Effectively and professionally communicates and interacts with NEMG clinician and administrative staff.
  • 3. Compliance
    • 3.1 In collaboration with Compliance, assures documentation that meets regulatory standards

Qualifications

EDUCATION


Bachelors in Healthcare or Finance. Masters in Healthcare Administration or related field preferred. Trained on HCC Coding.


EXPERIENCE


Minimum five years in healthcare environment


SPECIAL SKILLS


Excellent interpersonal, coordinative, customer service, teamwork, and organizational skills.

Demonstrated ability to communicate effectively with interdisciplinary team and administration.

Ability to multitask is essential.

Able to function well in a matrixed environment.


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