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Fidelis Care - New York · 1 day ago

Analyst, Value Based Payment Initiatives

New York, United States

Full-time

Hybrid

Entry, Mid Level

$56K/yr - $101K/yr

1+ years exp

Fidelis Care is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. The Analyst of Value Based Payment initiatives will assist in executing the organization's Value Based Payment contracting strategies and manage multiple VBP relationships with Provider Groups and other contracting entities.

AssociationCommunitiesHealth CareInsurance

Responsibilities

Work collaboratively with Contract Management to design and refine, the VBP contract negotiated with each assigned VBP Provider Group partnership

Accurately and effectively communicate the status of each VBP relationship to the VBP team and other cross-functional leads

Recommend reporting enhancements based on VBP partner feedback and needs identified through regular use of the existing reporting tools

Appropriately prioritize and escalate VBP issues to the AVP and Managers of VBP Initiatives

Work with the Manager / Lead of each VBP partner to develop strategies and action plans designed to eliminate any aberrant utilization and or quality of care patterns that will prevent the VBP partner from having a successful outcome through its Fidelis VBP relationship

Assist internal and external VBP meetings (clinical, IT, legal, etc ) in order to resolve any issues related to the operation of those VBP relationships that have been assigned

Assist in tactical execution of the business plan objectives to drive success of each VBP relationship

Assist in building and maintaining relationships with key individuals at assigned PPS organization and their related VBP contracting entities

Act as a subject matter expert on all VBP related matters

Assist in implementation for VBP assigned relationships including third party vendors

Provide daily assistance in the management of VBP activities, including data analysis, problem resolution and other activities to assist in the facilitation of a successful relationship with assigned Provider Group Partners

Performs other duties as assigned

Complies with all policies and standards