ACO Performance Program Manager
Why This Role is Important to Us
The Accountable Care Organization (ACO) Performance Manager is responsible for tracking and evaluating key ACO performance data and consistently providing performance information to ACO Providers and Leadership. The performance manager partners with key individuals across the ACO to manage and cross coordinate performance engagement and improvement activities and interventions that will help to achieve ACO and organizational goals.
What You’ll Be Doing
- Tracks, trends & analyzes population data & evaluates impact on ACO objectives and performance metrics.
- Partners with Data & Analytics to build and analyze data and reports related to Quality, Risk Adjustment, Cost, Utilization and other performance measures for Medical Group, ACO & Organizational Leadership.
- Develops executive summary payer performance dashboards, in partnership with Network/Contracting Specialist.
- Partners with ACO, Contracting and Medical Group leaders to identify performance improvement opportunities and develop performance action plan(s) to ensure coordination and progress of key initiatives to drive performance.
- Provides oversight and coordination of CMS and other Payer quality, performance and other data submission requirements (e.g. GPro, Supplemental data).
- Supports non-Central Maine-owned ACO providers in understanding performance trends and improvement actions.
- Actively participates in performance improvement and continuous quality improvement (CQI) activities.
- Coordinates and leads meetings with internal operational workgroups and external partners to drive improvement initiatives.
- Serves as an ACO representative on internal committees and work teams.
- Assures that standards of practice and policies are in compliance with the ACO contractual requirements and other contractual and regulatory guidelines and standards.
What We’re Looking For
Education and Experience
- Bachelor's Degree in a healthcare-related field (e.g. Nursing, Business Administration/Healthcare Administration/Public Health).
- Experience with ACOs, Medicare, population health strongly preferred.
- Experience in LEAN and change management/process improvement required.
- Strong proficiency in Microsoft Office products, especially Excel and Power Point, required.
- 3+ years of experience in practice management, provider relations or project management strongly preferred.
- Knowledge of current healthcare quality, cost, risk adjustment metrics and initiatives strongly preferred.
Knowledge, skills and abilities:
- Excellent written and oral presentation skills, with the ability to engage, inspire, build credibility and trust
- Highly organized and self-motivated individual with ability to adapt to various work spaces
- Collaborative working style with the ability to work across different teams, areas of expertise, and adapt to ambiguous environments
- Must demonstrate excellent interpersonal communication skills; must be personable and comfortable communicating with all levels of the organization
- Must be flexible and adaptable to change and demonstrate the ability to work independently
Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western, and mid-coast Maine. CMHC's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital, and Rumford Hospital. CMHC also supports Central Maine Medical Group, a primary and specialty care practice organization with a presence in 17 Maine communities. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center, Long-Term Care facilities in Auburn and Rumford, Topsham Care Center, and other high quality clinical services.