Program Manager, Medicare ACO
Steward Health Care Network (SHCN) takes pride in its community-based care model, which drives value-added tools and services to our communities, patients, physicians, and hospitals across the continuum of care. In addition, Steward Health Care Network promotes care coordination and collaboration within the network in order to provide high-quality, efficient care to patients. With Steward in the community, all residents can be sure that there is a world class doctor close to where they live.
The network is also responsible for the implementation and execution of our managed care contracts, medical management services, quality improvement programs, data analysis, and information services.
Position Purpose: The Medicare Accountable Care Organization (ACO) team of Steward Health Care Network is looking for a Program Manager to help us make a difference in the way care is delivered to our senior population.
The Medicare Program Manager will be primarily responsible for the success of Steward’s Medicare ACO across the new and fast-growing regions of our network. They will lead our Medicare risk contracts towards success by excelling across many dimensions, but most importantly through: (1) vision-setting for growth and project managing new operational initiatives that serve our population, (2) drawing insights from modeling and ad-hoc analyses to generate and implement high-value recommendations and (3) being a reliable policy knowledge expert on evolving CMS programs.
- Demonstrates leadership by planning and overseeing multiple, inter-related, complex, operational and clinical projects to drive performance improvements in care for Steward's Medicare population, under the direction of senior leadership and the Senior Director of the Medicare ACO.
- Formulates the budget for annual planning cycles that allows the Medicare ACO to achieve market-leading returns on invested capital, ultimately sharing profit-and-loss responsibility for the success of the Medicare ACO business unit.
- Manages and coordinates activities across SHCN operational teams, steering workgroups and stakeholders to mitigate risks and ensure the business is successful in meeting its goals.
- Leads vendor contract negotiations, external partnership and management activities.
- Presents findings and recommendations for action to Steward Health Care Network (SHCN) leadership meetings including Board Meetings
Analysis and modelling:
- Independently prepares financial opportunity and risk analyses to recommend high-value initiatives to senior leadership
- Models and performs ad hoc analyses for the purpose of understanding the historical and future performance of initiatives
- Creates, interprets and disseminates information across multiple internal and external stakeholders
- Monitors, interprets and reports on changes in performance, market trends, health care delivery systems and legislative initiatives which impact program efforts (e.g., CMS ACO regs, Massachusetts Health Reform)
- Proactively assists in the development and implementation of Medicare compliance and privacy programs
- Facilitates and operationalizes relationships with external organizations including federal Medicare divisions (CMS and CMMI) and community strategic partners.
Education / Experience / Other Requirements
- BA/BS required; MBA, MHA or other Master’s degree preferred
Years of Experience:
- 3-5 years working in a fast-paced environment. Healthcare experience required; Medicare Shared Savings ACO experience strongly preferred.
- Experience leading change and driving growth across a business unit with P&L accountability.
- Strong interpersonal skills and ability to interact positively with a wide range of constituents.
- Ability to work both independently and within a team environment and a multi-dimensional environment. Creative, flexible, self-motivated, professional must possess sound judgment ability to plan and initiate new activities consistent with achieving service excellence.
- Proven excellent written and verbal communication skills. Ability to present information to small and, at times, large audiences.
- Strong organizational and project management skills including development of project parameters, goals, and timelines and outcome measurement.
- Established passion for working towards improving the health of populations.
- Analytic skills to collect information from diverse sources and summarize the information and data in order to solve problems.
- Ability to function effectively within an ever-changing environment and to meet deadlines and reprioritize as necessary.
- Must be able to maintain confidentiality of information.
- Proficiency in Excel, Word, PowerPoint, Microsoft Project, and Access.
Job Status: Full Time
Job Reference #: 1914