THIS POSITION REQUIRES WASHINGTON STATE RESIDENCY

Employees must establish a residence in Washington State within 30 days of their first day of employment and must maintain a residence in Washington State during their employment with PSW. If a position is eligible to telework, work performed while teleworking must be performed in Washington State.

Summary / Objective:

PSW is a leading population health management company committed to delivering high-quality, patient-centered care. We are currently seeking a dynamic and experienced Bundle Payment Program Manager to join our team. This individual will play a crucial role in advancing our commitment to value-based care initiatives and optimizing the efficiency of our bundle payment programs.

Essential Functions:

Program Management:

• Oversee the planning, implementation, and evaluation of bundle payment programs to ensure seamless coordination of care.
• Collaborate with cross-functional teams, including clinicians, finance, and administrative staff, to achieve program goals and objectives.
• Ensure program compliance with regulatory requirements and coordinate audits or reviews as needed.

Performance Monitoring:

• Establish key performance indicators (KPIs) and regularly monitor and analyze program performance against established benchmarks.
• Identify areas for improvement and work collaboratively to implement changes that enhance program effectiveness and financial outcomes.
• Generate regular reports for internal stakeholders and external partners, providing insights into program performance and compliance.

Stakeholder Engagement:

• Foster positive relationships with internal and external stakeholders, including payers, providers, and community partners.
• Serve as a liaison between the organization and payers to negotiate and optimize bundle payment arrangements.

Education and Training:

• Develop and deliver educational programs to ensure that staff and providers understand bundle payment models and value-based care concepts.
• Stay abreast of industry trends and best practices related to bundle payments and value-based care.
• Collaborate with healthcare providers to implement quality improvement initiatives, track performance metrics, and ensure adherence to established standards.

Data Analysis:

• Utilize data analytics tools to extract meaningful insights and trends related to bundle payment program performance.
• Develop reports and presentations to communicate findings to leadership and other stakeholders.

THIS POSITION REQUIRES WASHINGTON STATE RESIDENCY

Employees must establish a residence in Washington State within 30 days of their first day of employment and must maintain a residence in Washington State during their employment with PSW. If a position is eligible to telework, work performed while teleworking must be performed in Washington State.

Required Work Experience:

• Bachelor’s degree in healthcare administration, Business, or a related field.
• Proven experience in healthcare program management, with a focus on bundled payments and value-based care.
• Strong understanding of healthcare finance, reimbursement models, and regulatory compliance.
• Excellent project management skills, including the ability to lead cross-functional teams and meet project timelines.
• Proficient in data analysis and reporting, with a strong emphasis on utilizing data for decision-making.
• Exceptional communication and interpersonal skills to effectively engage with diverse stakeholders.
• Knowledge of ACO models, CMS regulations, and healthcare quality improvement initiatives.

Preferred Education and/or Work Experience:

• Master’s Degree in healthcare administration or similar