York, PA, 17405, USA
1 day ago
Quality and Payor Program Specialist
Quality and Payor Program Specialist Location: WellSpan Health, York, PA Schedule: Full Time Schedule Full-time: 40hrs/wk Hours: Monday - Friday, 8am - 4:30pm with some flexibility Hybrid work model - must be on site in York each week General Summary Works with Medical Group and/or Hospital, System and Payor resources to ensure organizational awareness, exceptional communication, ongoing maintenance and optimization of pay for performance initiatives, including Commercial voluntary incentive payment programs. Provides project management for selected planning and operational implementation of quality initiatives, developing project work plans, analyzing financial impact and communicating progress and any identified risks. Develops and reports on operational and financial status and opportunity (related to these programs) for the relevant management, Payer Contracting and Finance. Covers all responsibilities for peers in their absence. Duties and Responsibilities + Provides project oversight, including planning, scheduling, vendor management, risk assessment, change management, time management, interpersonal leadership skills, and project control. + Coordinates, collects and maintains appropriate metrics, values and specific contract requirements related to pay for performance incentive plans for risk contracts and government based programs. + Networks, collaborates, organizes and communicates with multiple and various internal and external interfaces and departments in order to completely capture all necessary pay for performance program related requirements. + Utilizing a prioritization and alignment method and tool, prepares measures and related results for review by the appropriate multidisciplinary team in order to assign recommendations for leadership decision making. + Apply process improvement principles and quality improvement tools and techniques to identified processes/systems/ tasks. + Works with operational leadership to ensure alignment of resources with work effort required. + Creates timelines and deliverables for workflow development, implementation and monitoring for selected quality measures. + Develops forms, policies and procedures in cooperation with the Manager. + Compiles data for and prepares regularly scheduled or special reports, analyses and statements. Travel Requirements: + Estimated Amount: - Travel to multiple work sites as required Qualifications Minimum Education: + Bachelors Degree In business or healthcare related field Required Work Experience: + Less than 1 year 6 - 12 months Required Knowledge, Skills, and Abilities: + Proven outstanding interpersonal skills; + demonstrated ability to function as a team player. + Basic computer skills including Microsoft Office products. + Effective verbal and written communication skills; + analytical skills; + ability to work independently and strong problem solving skills. + Demonstrates initiative in new approaches; + able to establish and maintain effective relationships with co-workers/organizational departments. Benefits Offered: Comprehensive health benefits Flexible spending and health savings accounts Retirement savings plan Paid time off (PTO) Short-term disability Education assistance Financial education and support, including DailyPay Wellness and Wellbeing programs Caregiver support via Wellthy Childcare referral service via Wellthy Apply Now You’re unique and you belong here. At WellSpan Health, we are committed to treating all applicants fairly and equitably, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email atcareers@wellspan.org. We will evaluate requests for accommodation on a case-by-case basis. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us. WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.
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