IPCA is hiring for a Value Based Payment Manager

Position Title: Value Based Payment Manager
Hours: Full Time
FSLA Status: Exempt

General Statement:
Idaho Primary Care Association (IPCA) is a private, non-profit organization whose mission is to promote and support vibrant, effective community health centers in providing accessible, affordable and high-quality healthcare to all Idahoans. IPCA is the membership organization for Idaho’s community health centers.


Idaho’s health centers have formed the Community Health Center Network of Idaho, LLC (CHCNI). IPCA is the manager of CHCNI. The Value Based Payment Manager serves as the primary liaison between health centers and the local healthcare marketplace, with responsibility for strategically assessing, developing, and implementing actions to align health centers with key payers/stakeholders in both fee-for-service and risk-based environments.


The Value Based Payment Manager works to support the combined mission of Idaho health centers through alliance and community relationships. The Value Based Payment Manager integrates IPCA initiatives and CHCNI priorities and utilizes data to identify and support health center improvement activities for better patient outcomes and overall success in value based payment arrangements with payers.

 

Primary Responsibilities:
• Develop and maintain constructive and effective relationships with payers
• Manage the relationship between health centers and payers
• Present, represent and market health centers as a provider network to payers
• Work with other members of the IPCA team to ensure alignment of activities to improve the performance of health centers in their value based payment contracts.
• Utilize data to identify training and technical assistance opportunities for health centers related to cost, quality, and utilization
• Resolve clinical and operational issues between health centers and payers
• Track and prepare and present CHCNI performance data, metrics, and settlements for board meetings
• Coordinate with the IPCA in representing health centers to other provider entities and stakeholders as part of Idaho’s developing system of value based care initiatives
• Maintain strong relationships with Idaho partners working on related efforts, and with other state, regional and national partners; participate on committees and coalitions
• Assume other duties as assigned


Required Qualifications:
• Bachelor’s Degree in business, health care management or related field
• Three years of experience in the fields of provider relations, payer contracting, clinical improvement, managed care, health center operations, or related fields
• Understanding of payer and clinic billing, coding, and reimbursement
• Strong project management skills
• Ability to work as a team member and work effectively with diverse people
• Data analysis skills including use of information technology tools to produce actionable information
• Excellent interpersonal, oral, and written communications and organizational skills.


Preferred Qualifications:
• Master’s degree in health care administration, business administration, or other related field
• Three years of experience in payer or provider contracting and exposure to various payment methodologies related to value based care


Supervisory Responsibility:
This position has no supervisory responsibilities.


Work Environment:
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.


Physical Demands:
This is largely a sedentary role, with a significant portion of the day spent at the computer; however, this position would require the ability to lift files and equipment such as laptops, flip charts and stands, projectors and meeting materials such as handouts and binders; open filing cabinets and bend or stand as necessary.


Position Type and Expected Hours of Work:
This is a full-time position. Days and hours of work are typically Monday through Friday, 8:00 a.m. to 5 p.m.


Travel:
Less than 30% travel is expected for this position, subject to change after the end of the Public Health Emergency.


TO APPLY:
If interested and qualified for this position, please submit a resume, cover letter and completed Application for Employment.

Application materials should demonstrate or address the qualifications listed above. Submit via email to:

Idaho Primary Care Association
Human Resources
hr@idahopca.org

IPCA is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

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IPCA is hiring for a Value Based Payment Manager