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Manager of Bundled Alternative Reimbursement

Company: Tower Health
Location: Reading
Posted on: August 15, 2019

Job Description:

OverviewTower Health is a strong, regional, integrated healthcare provider/payer system that offers leading-edge, compassionate healthcare and wellness services to a population of 2.5 million people. Together, our six hospitals and other entities provide a full range of medical care from prevention, screenings & education; to the latest clinical services and surgeries available; to rehabilitation. We also offer wellness programs & public health services that ensure our communities are the healthiest they can be. Our caring, highly trained physicians and staff are committed to patient safety and patient satisfaction.With more than 11,000 team members, Tower Health includes Reading Hospital, a teaching hospital based in West Reading; Brandywine Hospital in Coatesville; Chestnut Hill Hospital, a teaching hospital in Philadelphia; Jennersville Hospital in West Grove; Phoenixville Hospital in Phoenixville; and Pottstown Hospital in Pottstown. We also operate Reading Hospital Rehabilitation at Wyomissing & Reading Hospital School of Health Sciences, & we have a comprehensive physician network.Collaboration across Tower Health enables our hospitals, providers, leadership & staff to leverage best practices across the health system. Our hospitals have received national recognition for advanced care in areas such as neurosurgery and stroke, cardiac & vascular surgery, trauma, hematology & oncology. Reading HealthPlex, which opened at Reading Hospital in October 2016, combines state-of-the-art technology and world-class design to make the HealthPlex one of the most sophisticated surgical centers & inpatient facilities in the region.At Tower Health, we have a rich history of providing high-quality, cost-effective care in the communities we serve. As the healthcare industry continues to change, one thing remains steadfast: Tower Health's commitment to Advancing Health, Transforming Lives#LIResponsibilitiesJOB SUMMARY- Manager Bundled Alternative ReimbursementThe Manager of Bundled Alternative Reimbursement is Tower Health's lead and project manager on governmental and commercial reimbursement models thatinclude either a fixed or bundled payment, reimbursement for quality incentives or other such alternative reimbursement methodology.The Manager will coordinate activities between hospitals, physician participants, our BPCI-A Consultants, and Tower Health management. He/she will be a liasion to various clinical effectiveness teams and various Bundling Operating Committees. He/she will be responsible for analytics evaluating the feasibility of Medicare, commercial and employer bundled payment programs for select clinical episodes based on key financial, operational and strategice metrics.The Manager is also charged with facilitating education,training and applying gained knowledge across the health system.This role is integral in preparing Tower Health to successfully manage new models of reimbursement and incentive payments from payors.QualificationsEducation:* 4 year Bachelors Degree required* Masters Degree preferred* PA RN licenseExperience:* Leadership in developing and implementing and managing value-based payment programs, including bundled payments, population health strategies and/or value-based reimbursement programs.* Leadership in evaluating both hospital and physician performance in value-based agreements* Leadership in developing and providing analytics around value-based, bundled payment or other alternative payment methodologies.* Project Management, managing in a matrix environment, both reporting to, and managing projects where parties do not report to the individual.* Health Plan, Health System or Medical Group experience required* Knowledge and Application of payor compliance, regulatory guidelines and payor reimbursement modelsRequired Skills* Excellent Project Management Skills* Excellent Data Management* Excellent Communication Skills* Excellent Computer Skills, to include Microsoft Outlook, Excel, Access, etc.* Excellent Team Facilitation Skills

Keywords: Tower Health, Reading , Manager of Bundled Alternative Reimbursement, Executive , Reading, Pennsylvania

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