Value Based Programs Operations Specialist

Philadelphia, PA, United States

Job Description Job Description Position Overview:

The Value Based Programs (VBP) Operations Specialist provides operational and program support needed to develop a value-based system of care across the CBH provider network; align and coordinate the department internally; and measure outcomes of the department’s efforts, ultimately advancing the mission of the department.

Essential Functions :

Develop, implement, and maintain VBP communications strategy, including the development of written materials, annual reports for publication (ex. VBP Provider Profiles, VBP Model Summary), content and design of the VBP section of the Source and Provider Portal, and other VBP publications.

Track and ensure all VBP incentive payments and related documentation (provider letters, tracking spreadsheets) are completed timely.

Track and review data submissions related to Community Based Organization contracts.

Work closely with and in support of VBP Specialists in implementation and monitoring activities, reviewing provider performance, and monitoring VBP model outcomes.

Assist in the development and organization of VBP training materials and events.

Provide material preparation, meeting minutes, and logistical support for the VBP department’s internal and Provider meetings, including monthly VBP Committee meetings.

Conduct research and provide summaries, resources, or reports upon request.

Serve as a liaison between the VBP Department and other departments within DBHIDS/CBH, such as Clinical Management/CMO, Quality Management, Contracts, Business Rules, Population Health, and Provider Operations.

Plan, research, develop, and implement special projects.

Analyze trends in VBP outcomes across the provider network to further inform departmental development (as well as demonstrate departmental progress).

Assist in evaluating and streamlining operations as the VBP Department continues to expand and develop.

Position Requirements:

Education: Bachelor’s degree in Social Work, Counseling, Psychology or other related field; or Project Management degree/certification and 3 years’ experience in a behavioral healthcare setting. Master’s degree preferred.

License/Certification: N/A

Relevant Work Experience: Minimum of 3 years operations support, program management, or program development experience, preferably within a mental health or substance use treatment setting.

Skills: Understanding of managed care and behavioral healthcare delivery system and services.

Excellent administrative and organizational skills

Excellent research, analytical, and problem-solving skills

Ability to integrate data into program development

Ability to handle multiple assignments while meeting deadlines and quality expectations

Proficiency in the use of Microsoft Excel and Word

Excellent oral and written communication skills

Ability to prepare and summarize reports in a comprehensive and concise manner

Ability to work independently and as a part of a team

Compliant with HIPAA regulations

Core Competencies:

Teamwork and Collaboration : Build and sustain relationships with co-workers and stakeholders and support efforts and deliverables. Encourage unity and help remove barriers to productivity and success.

Respect : Treat each other and our members and stakeholders with respect and sensitivity, recognizing the importance of diversity.

Member Centric : Focus on the needs of our members by providing value-added services, promoting strong relationships and going beyond basic expectations to achieve the best possible outcomes.

Honesty and Integrity : Be open and honest in all we do. Maintain the highest level of integrity at all times.

Commitment to Service Excellence : Challenge ourselves to be forward-thinking and committed to providing total member and stakeholder satisfaction, first-in-class service and high quality, innovative programs.

Compassion and Empathy: Demonstrate a deep appreciation for another’s situation and point of view. Pay attention to emotional cues, listen effectively and show an exceptional level of caring about each person’s perspectives and circumstances.

Problem Solving : Build and implement logical solutions to resolving challenges/issues by using individual knowledge and experience while taking resources, constraints and CBH values into consideration.

Initiative and Self-Directed : Proactively manage time and resources in a way that ensures that all work is done in the most efficient manner while identifying and implementing initiatives without interventions from co-workers, supervisors or stakeholders.

Flexibility and Adaptability : Adjust approaches and behaviors in order to meet the constantly changing environment head-on and accomplish CBH and individual goals. Strive to adapt to, accept and embrace change within areas of responsibility.

Communication : Effectively and appropriately share thoughts, ideas and information - both written and oral. Respectfully listen to co-workers and stakeholders to gain a full understanding of issues/situations.

Philadelphia Residency Requirement:

The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.

U.S. Authorization Requirement:

CBH does not provide sponsorship for applicants requiring future work authorization. All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future.

Equal Employment Opportunity:

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.

Requesting An Accommodation:

CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.

If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at [email protected]

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