Program Manager ACO

Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time.

By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community.

Position Summary:

The Program Manager, ACO is responsible for supporting the strategy and operations of the ACO REACH program.

The Program Manager, ACO will assist in building strategic and collaborative partnerships with providers and their office staff, functioning as the primary point of contact with our independent practice partners for ongoing operational communications and needs.

Partnering alongside Compliance, the Program Manager, ACO will ensure all monthly, annual and ad-hoc Center for Medicare and Medicaid Services (CMS) requirements are met related to provider lists, agreements, and changes, provider and beneficiary notifications, and public reporting requirements.

Acting as a primary liaison with data technology solutions, the Program Manager, ACO will ensure accurate quality and performance reports for internal operations and external partners are created in a timely manner and share relevant data and reporting with internal leaders and practices on a regular basis.

The Program Manager, ACO will support ACO Board of Manager and Committee meetings, ACO Partner meetings, Joint Operating Committee meetings, ACO Leadership meetings, and ad hoc meetings as they arise through data and information collection, PowerPoint presentation development, agenda creation, meeting minutes and attendance as needed.

General Duties/Responsibilities (May include but are not limited to):

·         Enhances the relationship with providers and office staff for the ACO by scheduling, supporting, and participating in Joint Operations Committee meetings, with appropriate information sharing, by efficiently and effectively responding to requests for information, by monitoring and influencing physician growth opportunities and trends, and by successfully resolving issues related to capitation, claims, and other operational functions. Provide regular required reporting for ACO to practices as it relates to financial and clinical performance.

·         Develop partnerships and collaborate with internal and external service providers to assist in implementing best practices.

·          Support all ACO compliance deliverables and timelines as specified by CMS.

·         Responsible for daily monitoring of CMS portal and sharing new reports and documents with relevant parties.

·         Attend CMS webinars, maintain reporting calendar and deadlines, share pertinent information from weekly newsletters with relevant parties.

·         Maintain and update all ACO distribution lists, master provider and practice lists as well as ACO dashboards.

·         Acts as liaison with data technology solutions to ensure accurate quality and performance reports for internal operations and practices and ensure practices receive regular reports.

·         Partner with Marketing and Compliance to review, approve and submit all marketing materials to CMS for formal approval.

·         Ensure all marketing material needs and patient mailers are delivered timely.

·         Partner with ACO Director with operational and strategic processes and documentation as needed.

·         Participate in ACO Board meetings and committee meetings and assist Director, ACO with material prep, agendas and minutes.

·         Process vendor invoices and other payments as they arise.

·         Coordinate scheduling of events for ACO: town halls, practice visits/meetings and patient events.

·         Maintain Paper Voluntary Alignment process for ACO with practices and submit updates to CMS per marketing plan.

·         In partnership with ACO Director, develop and maintain ACO policies, procedures and workflows.

·         Other duties as assigned.

Supervisory Responsibilities:

N/A

Minimum Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

·         Minimum Experience:

a.       5+ years experience in healthcare environment.

b.       Experience tracking data and performance metrics preferred.

c.       Project and/or program management experience preferred.

·         Education/Licensure:

a.       Bachelor’s Degree preferred.

·         Other:

a.       Strong analytic, quantitative, and problem-solving skills required.

b.       Strong verbal and written communication skills required.

c.       Strong presentation skills and ability to appropriately and effectively address diverse audiences required.

d.       Strong relationship management skills required.

e.       Proficiency in MS Word, Excel, and PowerPoint required; Access database proficiency preferred.

f.        ACO experience preferred.

g.       Work Conditions:

                                                               i.      Office Hours:  Monday-Friday, 8am to 5pm.  Extended work hours, as needed.

                                                             ii.      Travel by car and/or plane required as needed to support needs in other geographies.

                                                           iii.      Maintain reliable means of transportation. If driving, must have a valid driver’s license and automobile insurance.

                                                           iv.      Reside in California preferred.

·         Hybrid/Remote work at home.

·         Work Environment:

1. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
• The employee may lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.