Site: Mass General Brigham Community Physicians, Inc.
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
The Senior Program Manager, Population Health Incentive Programs, manages the operations of our two incentive programs - the Internal Performance Framework (IPF) and our provider incentive program. The IPF is the financial risk-sharing framework between MGB and the integrated and affiliated care delivery entities and ambulatory practices. Each year the IPF is developed with a slate of measures for quality, cost and strategy performance to improve value for our patients. The provider incentive program leverages the IPF metrics to measure performance at the individual provider level and distributes shared savings from our value-based healthcare contracts to high performing integrated providers and practices.
This position is part of the Population Health Finance team and reports to the Director of Value Based Care Performance. This role partners closely with finance, actuarial, clinical and operational teams to deliver reliable, straightforward and accurate reporting and financial payments to drive performance.
Essential Functions
At any point in time, the IPF will span 3 years - the prior performance year (focused on final measurement and financial settlement), the current performance year (focused on performance evaluation and management) and the future performance year (focused on measure adjustment to meet evolving payor contract requirements and system strategy). This role is responsible for managing the information, communication and progress of the IPF lifecycle, from measure development to implementation and settlement. The role is also responsible for project management of quarterly reporting; coordinating between actuarial, data analytics, clinical operations, finance and Population Health leadership teams.
There are many users, or customers, of the IPF data and reports including operational leaders, medical directors and data analysts across the MGB system. This role serves as the central point person to track, manage and coordinate responses to stakeholder inquiries.
The Finance team is responsible for evaluating and improving performance in our risk-based contracts including Medicare, Medicaid and Commercial. The Senior Program Manager may be assigned other project duties to support the work of the PHM Finance team leadership.
Qualifications
Education
Bachelor's Degree in a related field of study or equivalent years of experience required, Master's Degree Related Field of Study preferred
Experience
Knowledge, Skills and Abilities
Additional Job Details (if applicable)
Remote Type
Hybrid
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$79,560.00 - $115,720.80/Annual
Grade
7
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
6010 Mass General Brigham Community Physicians, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.