Value Based Program Financial Performance Manager

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Exemption Status:

Schedule Details:

Scheduled Hours:

Shift:

Hours:

Cost Center:

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Major Responsibilities:

• Responsible for managing value-based program total medical expenditure/utilization reporting, projections and analysis, including identifying areas with opportunities for improvement. This position under the direction of the Senior Director of Population Health Data and Analytics and in collaboration with the team of Data Scientists ensures financial/utilization reporting and analysis needs are met, provides support to the programs’ Finance and other committees.
• Responsible for managing the value-based programs’ financial analysis and projections including reconciliations, gainsharing calculations, funds flow projections, etc. and identifying opportunities for improvement.  Oversees and manages the use of EMR data, claims data, other data sources and analytics tools to create financial performance reports for all value-based programs. 
• Produces reports and other information to allow OCI leadership to make work prioritization decisions.  Reviews existing reports, procedures, systems, and controls for consideration in delivering final work product.
• Prepares pro-formas for new programs and other business plans for the evaluation of performance improvement initiatives and new/proposed value-based programs.

Other responsibilities include:

• Works with clinical departments on submission of grant/contract applications and billing for those grants/contracts and completing DPH surveys as required by grants/contracts,
• Responsible for the work with the Finance Department on the annual 990/Schedule H filings and the development of relevant footnotes for the audited financial statements.
• Provides technical, informational, and problem-solving assistance to administration, department heads and other levels of management during the budget preparation process and throughout the operational year as well as managing OCI transactions with the rest of the UMMH organizations.
• Communicates budget policies and procedures to departments and other levels of management.
• Assists department managers in developing budgets where appropriate including input and tracking of various initiatives, analyzing financial impact of various proposed initiatives, and tracking and reporting on the progress of budget initiatives on a periodic basis.
• Assists in the development of reports and scorecards utilized to evaluate value-based program total medical expense and comparisons to budget.  Presents progress reports to committees, identifies significant variances and trends and makes recommendations for corrective action as necessary.

• Tracks resource utilization against projections to allow for better estimation of effort and delivery of requests.  Incorporates “lessons learned” and resource utilization information into future scope/assessment efforts to ensure greater accuracy in the estimation process.
• Develops and manages relationships and facilitates communication with internal stakeholders and external stakeholders, such as Finance Department, Information Technology, value-based program clinicians; participant finance and information technology departments; vendors, regulators, payers, associations, etc.

Position Qualifications:

License/Certification/Education:

Required:

• Bachelor’s degree in business administration or related field

Preferred:

• Master’s degree

Experience/Skills:

Required:

• Ten years of related experience required in a healthcare environment with advanced analytics, healthcare reimbursement and financial modeling experience.   
• Experience with government value-based programs. 
• Experience coordinating the assignment of work between multiple resources.
• Capable of managing multiple projects simultaneously, and of operating in a highly matrixed organization where authority and responsibility for planning and execution are often shared across departments and individuals.
• General organizational performance improvement skills are required but not necessarily specific to healthcare. 
• Demonstrated ability to plan and evaluate programs and analyze financial data. 
• Excellent verbal and written communication skills.

Preferred:

• Leadership experience. 
• Experience with managed care finance, Epic claims/patient accounts and project management.
• Technology experience within a healthcare setting

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.