Job Summary

This position is responsible for leading and guiding CareOregon’s Shared Accountability Model (SAM) programs to help ensure an effective and integrated delivery process focused on health outcomes.  The position works closely with the Value Based Contracting team and also collaborates with regional and line of business leadership, population health, actuarial services, and Network and Clinical Support teams.

Essential Responsibilities

• Develop meeting materials for Joint Operating Committee (JOC) meetings to support SAM and risk share models.
• Develop agendas for Shared Accountability Model meetings.
• Develop and maintain data-sharing, meeting, and contract calendars to support existing SAM and risk share models.
• Collaborate with actuarial team and external actuarial consultants on data-sharing and financial reporting to support SAM and risk share models.
• Collaborate with Network and Clinical Services (NCS) team to support development and measurement of quality within SAM and risk share models.
• Develop and ensure necessary content is reflected in the  Provider Guide for SAM model, among other supporting tools and materials.
• Support collaboration with IS and NCS for development and delivery of enhanced financial reporting for SAM and risk share models.
• Monitor and support value based contracting reporting regulatory requirements in partnership with the Finance team.

Organizational Responsibilities

• Perform work in alignment with the organization’s mission, vision and values.
• Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
• Strive to meet annual business goals in support the organization’s strategic goals.
• Adhere to the organization’s policies, procedures and other relevant compliance needs.
• Perform other duties as needed.

Knowledge, Skills and Abilities Required

• Ability to identify and anticipate issues and act proactively to formulate plans and recommendations
• Strong ability to manage multiple activities, organization communications, and competing priorities
• Highly proficient in Microsoft Word, Excel, PowerPoint, and Outlook
• Understanding of value based contracting
• Understanding of shared risk models
• Strong verbal and written communication skills
• Ability to develop and maintain excellent professional working relationships with internal staff and departments and external stakeholders
• Ability to work with diverse individuals and groups

Education and/or Experience

Required:

• Minimum 5 years’ experience required in program, project, or operations administration; experience should include independent leadership of small, medium and large complex projects and leading enterprise-wide, complex projects
• Minimum 1 year experience in the health care industry

Preferred:

• Experience in risk modeling, contracting, network partnership, or related work
• Experience in health plan operations
• Experience with Medicare, Medicaid or other government healthcare programs

Working Conditions

• Environment:  This position’s primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):

? Inside/office              ? Clinics/health facilities          ? Member homes

? Other_________________________________________

• Travel:  This position may include occasional required or optional travel outside of the workplace, in which the employee’s personal vehicle, local transit, or other means of transportation may be used.
• Equipment:  General office equipment
• Hazards:  n/a

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment

Veterans are strongly encouraged to apply. 

Equal opportunity employer.  This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.