Manager of VBP and Actuarial

Full Time
Corvallis, OR 97339
Posted
Job description
Relocation Allowance (up to): $10,000
Samaritan Health Services
Req #: 62526
Corvallis, OR
1.0 (80 hrs/pp) - Day
SHS Health Plan Operations - Finance
Remote Status: Yes
  • Employment commitment to Samaritan is required.

    JOB SUMMARY/PURPOSE
      Leads the development of premiums, innovative payment methodologies, capitated revenues and payments, and related financial processes, reporting, and analysis. Manages and develops assigned staff including external Actuaries or other contracted expertise. Leads Medicare and Medicaid revenue development and cascading related financial and operational implications to the organization. Analyzes VBP performance and presents results to internal and external stakeholders while driving long term VBP strategies. Oversees Actuarial analysis of revenue and cost to identify trends, outliers, risks, and financial opportunities.
    DEPARTMENT DESCRIPTION
      Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.
    EXPERIENCE/EDUCATION/QUALIFICATIONS
    • Bachelor's degree in Finance, Accounting, Economics or a closely related field required. MBA preferred.
    • Five (5) years progressively responsible experience in financial analysis required. Experience in a healthcare setting preferred.
    • Two (2) years leadership experience required.
    • Experience or training in the use of accounting, financial and business software applications including Excel, Word and Access required.
    KNOWLEDGE/SKILLS/ABILITIES
    • Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
    • Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
    • Critical thinking – Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
    • Communication and team building – Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects.
    PHYSICAL DEMANDS

      Rarely
      (1 - 10% of the time)


      Occasionally
      (11 - 33% of the time)


      Frequently
      (34 - 66% of the time)


      Continually
      (67 – 100% of the time)



      LIFT (Floor to Waist: 0"-36") 0-20 Lbs

      LIFT (Knee to chest: 24"-54") 0 - 20 Lbs

      LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

      CARRY 1-handed, 0 - 20 pounds

      CARRY 2-handed, 0 - 20 pounds

      KNEEL (on knees)

      BEND FORWARD at waist

      CLIMB - STAIRS

      STAND

      WALK - LEVEL SURFACE

      ROTATE TRUNK Standing

      REACH - Upward

      PUSH (0-20 pounds force)

      PULL (0-20 pounds force)

      SIT

      ROTATE TRUNK Sitting

      REACH - Forward

      MANUAL DEXTERITY Hands/wrists

      FINGER DEXTERITY

      PINCH Fingers

      GRASP Hand/Fist

      None specified

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