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Aya Healthcare

Program Manager

Aya Healthcare, Portage, Michigan, United States, 49002

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Population Health Project Manager

The Population Health Project Manager position is responsible for coordinating and managing multiple projects for Bronson Network. The person in this position will work with Bronson operational leadership providers and staff across the system to implement focused quality programs and process improvement projects, develop a method to monitor quality project success, distribute payor quality incentive payments, and complete the revenue cycle. The Population Health Project Manager is responsible for: Developing and maintaining appropriate documentation for projects and communicating with leadership on progress and timelines. Monitoring program updates and communicating requirements to participating leadership providers and staff. Ensuring payment based on payor contract obligations and Bronson Network performance. Providing knowledge of federal quality programs and billing coding as needed for each respective program. Bachelors degree in related field with minimum 3-5 years experience in healthcare required. Masters degree preferred. Experience in advanced care models focused on the continuum of care preferred. Working knowledge of healthcare operations in inpatient and/or ambulatory setting required. PMP Certification preferred. Demonstrates the ability to manage multiple complex projects by planning scope timelines and work effort, executing according to plans and finalizing projects. Conceptual thinking skills with the ability to envision project development to meet goals. Ability to develop and present educational materials to staff across the healthcare community. Experience leading collaborative teams through change to achieve successful completion of projects that include executive director and physician stakeholders with a customer service focus. Knowledge of medical billing coding system. Expert knowledge of Microsoft Office Suite components required. Proactively engages in continuous education to align with improving professional skills that directly support the Bronson Network Team. Work which produces levels of mental/visual fatigue which are typical of jobs that perform a wide variety of duties with frequent and significant uncontrollable deadlines. Work may include the operation of and full attention to a personal computer or CRT up to 40 percent of the time. The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting and some lifting of light weight objects. Demonstrates professional appropriate effective written and non-verbal communication with medical staff, colleagues, vendors and other department throughout the continuum of care. Good judgment required relative to sensitive and/or confidential organizational information on quality data and programs. Acknowledges patients rights on confidentiality issues, maintains patient confidentiality at all times and follows HIPPA guidelines and regulations. Participates effectively as a team member being accountable, helpful and welcoming to all coworkers, providers and patients. Subject matter expert for federal quality programs (including Primary Care First and MIPS/QPP) to continuously monitor requirements and expectations. Review federal program requirements to compile annual recommendation and required documents for continued program participation. Communicate with leadership providers and staff on key information regarding federal quality programs while monitoring requirements and expectations of the programs. Collaborates with other Bronson Network Team Members in development and distribution of educational materials to support clinical quality program requirements and metrics. Align project management and focused programs to the overall business strategy of the Bronson Network and Bronson Healthcare Group. Provide reports as required by program administration. Manage Bronson Network incentive revenue cycle including incentive funding and supporting the annual budget review and development. Manage quality incentive payment distribution with Finance reporting receipt to identify appropriate distribution of funds based on approval from Bronson Network Executive Leadership. Complete quarterly quality program incentive revenue cycle review. Provide support to the Ambulatory Care Team quality programs including MICMT and program updates to ACM Leadership.