We are seeking a full-time (40 hours per week) Partner Engagement Manager to join our Advanced Care Organization (ACO) team. This is a 100% remote position.
The Partner Engagement Manager (PEM) position is responsible for supporting LTC ACO contracted primary care groups to optimize their success in LTC ACO's Medicare Shared Saving Program.
The Partner Engagement Manager's top priorities are to serve as LTC ACO's primary point of contact with contracted groups to advance the goals of the ACO, to build and maintain effective relationships with contracted groups, to work with the groups to achieve attribution, quality, and cost performance goals, and to ensure the groups' satisfaction and continued participation in the ACO.
The salary range for this position is $80000 - $90000 / year.
To accomplish these priorities, the PEMS coordinate with internal and external resources to gather and share information, analyze performance data to identify opportunities for improvement, educate groups on LTC ACO policies and procedures and operational, quality and clinical best practices, and develop strategies and priorities to optimize performance outcomes.
The Partner Engagement Manager position will work closely with ACO Operations, Clinical, Quality, Information Technology, Data Analytics, and Finance teams to ensure maximum effectiveness of all LTC ACO providers in meeting the regional clinical and operational goals and objectives.
RESPONSIBILITIES/ACCOUNTABILITIES:
Develops and maintains positive relationships with contracted provider groups that participate in LTC ACO, through face-to-face and virtual meetings.Understands, develops, tracks, monitors and reports on key program attribution, financial, utilization, clinical, and quality performance metrics within assigned groups/geographies. Partners with provider groups to deliver continuous process and outcomes improvement.Develops and documents annual performance goals and strategic priorities for each group. Monitors and communicates performance against documented goals and priorities.Develops, implements, and monitors performance improvement plans, as needed.Addresses provider concerns in a timely manner and conducts root cause analysis as necessary. Appropriately engages other internal departments to resolve issues.Conducts regular LTC ACO provider meetings to discuss key topics driving outcomes including, but not limited to: financial performance, risk adjustment, utilization management, quality performance, clinical performance, etc.Shares best practices and encourages adoption of such practices to improve performance. Works with groups to identify and overcome obstacles to success.Acts as an advocate for contracted groups to problem solve issues created by LTC ACO, vendors, or other parties.Partners with other internal departments, including but not limited to Data Analytics, Information Technology, Clinical, Finance, Sales, and Quality in order to develop solutions for strategic business needs.Contribute to the development and execution of programs and processes that will continue to define the LTC ACO Model.Demonstrates an interest in being a team member by participating in regularly scheduled LTC ACO team meetings, regional meetings and internal/external marketing functions.Attends and presents at regularly scheduled meetings.Exhibits a sincere desire to contribute to the short- and long-range goals of the Organization.Performs other duties as assigned. Accepts new assignments and requests willingly and performs to the best of ability. Performs additional duties assigned by superiors in a willing and thorough manner.To understand each group's specific performance challenges and their structural causes through interviews, engagement, on-site visits, and analytics.COMPLIANCE:
Complies with and promotes adherence to applicable legal requirements, standards, policies and procedures including but not limited to those within the Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA.Provides leadership and support for the Compliance and Ethics Program within the management area.Ensures timely and accurate reporting and responses to compliance-related issues and monitors the implementation of corrective action plans related to such issues.Participates in compliance and other required training programs.Provides open lines of communication regarding compliance issues within the management area and access to the Integrity Line and ensures that retaliation against staff who report suspected incidences of non-compliance does not occur. Promptly reports concerns and suspected incidences of non-compliance to supervisor, Compliance Liaison or to the Compliance Officer via the Integrity Hotline.Participates in monitoring and auditing activities and investigations, and implementing quality assurance and performance improvement processes, as required.Completes performance reviews and determines compensation and promotions based on the accomplishment of established standards that promote adherence to compliance and quality standards.
