• Job Description

  Req#: R179974

  Thank you for considering a career at Bon Secours Mercy Health!

  Primary Function/General Purpose of Position

  This role is responsible for patient attribution and retention within Bon Secours Mercy Health's (BSMH) value-based contracts including Medicare Shared Savings Program (MSSP), Medicare Advantage and Medicaid plans. This role will primarily interact with physicians, providers, and patient populations to deliver enhanced membership and enrollment in value-based contracts while ensuring opportunities to grow and retain populations. This role will serve as the subject matter expert for attribution methodology and Alternative Payment Models while driving for ministry defined Key Performance Indicators (KPIs) and results.

  Essential Job Functions

  • Responsible within an assigned geography to work closely with payor partners, while collaborating with internal stakeholders, to deliver identified enrollment numbers.
  • Utilizes internal and external payor data to identify patients who should/should not be included in value-based contracts and works with payors to properly attribute members.
  • Identifies new opportunities to grow membership numbers within assigned geography.
  • Works closely with internal Population Health, Payor Contracting and Finance teams to ensure meaningful progress to goals while driving for results.
  • Works on multiple projects and assignments as a subject matter expert to support leadership priorities, while continuously collaborating with providers and identified patient populations.
  • Maintains working knowledge of third-party health care initiatives in which BSMH participates: MSSP, Medicare Advantage and Medicaid.
  • Reviews, identifies, and develops strategies for the strategic direction of attribution and performance within BSMH.

  This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

  Licensing/Certification

  None

  Education

  Bachelor's Degree in healthcare, business, or related field (required)

  Work Experience

  5 years in roles within the healthcare field (required)

  3 years in patient and physician-facing positions (preferred)

  Experience with Medicare Advantage or Medicare Shared Savings plan attribution methodology (preferred)

  Working Conditions

  Periods of high stress and fluctuating workloads may occur.

  Long-distance or air travel as needed

  General office environment.

  May have periods of constant interruptions.

  Required to car travel to off-site locations, occasionally in adverse weather conditions.

  Prolonged periods of working alone.

  Skills

  Experience with Value Based contracting

  Understanding the landscape surrounding Alternative Payment Models

  Data analysis

  Strategic planning

  Relationship building

  Expert communication skills – written, verbal, facilitating presentations

  Problem-solving

  Innovative mindset

  Ability to connect easily with patients and providers

  In market travel required***

  Bon Secours M ercy Health is an equal opportunity employer.

  Many of our opportunities reward* your hard work with:

  • Comprehensive, affordable medical, dental and vision plans
  • Prescription drug coverage
  • Flexible spending accounts
  • Life insurance w/AD&D
  • Employer contributions to retirement savings plan when eligible
  • Paid time off
  • Educational Assistance
  • And much more

  *Benefits offerings vary according to employment status

  S cheduled Weekly Hours:

  40

  Work Shift:

  Days (United States of America)

  Department:

  PHSO Admin - Population Health Service Organization

  All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com .

• About the company

  On September 1, 2018 Bon Secours Health System and Mercy Health combined to become the United States’ fifth largest Catholic health care ministry and one of the nation’s 20 largest health care systems. With 48 hospitals, thousands of providers, over 1,000 points of care and over 60,000 employees Bon Secours Mercy Health serves communities across seven states and Ireland.

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