Program Coordinator – Somerset, NJ

Program Coordinator – Somerset, NJReq #:0000169284

Category:Professional / Management

Status:Full-Time

Shift:Day

Facility:RWJBarnabas Health Corporate Services

Department:Accountable Care Organization

Location:

RWJ – 379 Campus Dr. Somerset, 379 CAMPUS DRIVE, SOMERSET, NJ 08873

Job Overview:

As part of RWJBarnabas Health s Population Health team you will play an instrumental role in providing support to practices in achieving a model for Improving and managing our Employed Medical Group, Joint-Ventures, and Community Partners in various value-based program; for example, Medicare and Commercial Shared Savings Program, Primary Care First Program, etc.

Responsible for monitoring and analyzing relevant issues that will impact RWJBarnabas Health, Accountable Care organization and inform respective team of necessary actions referencing Center for Medicare and Medicaid Services various online portals and tools.

Qualifications:

Required:

Associates Degree required

Excellent organizational, project management, and relationship management skills required.

Must possess, or within 30-days a valid New Jersey Driver license.

Preferred:

Bachelors Degree in a healthcare related field preferred or equivalent experience

Essential Functions:

Responsible for obtaining documents from regulatory agencies and/or participating providers accurately and timely.

Ensure standards of practice and policies are compliant with the ACO contractual requirements and other contractual and regulatory guidelines and standards.

Provide day-to-day management of ACO activities, including project management, problem resolution and other activities to assist in the facilitation of a successful relationship with assigned providers.

Support roster management including management of individual contractual conditions that may affect the relationship.

Act as subject matter expert for ACO and other Governmental Program and ensure availability to support all questions/issues which may arise on a daily basis i,e,, triaging questions internal and external, tracking responses.

Participate in ACO CMS Webinars as well as internal/external meetings clinical, data, legal, etc.

Responsible for compliance with Public Reporting requirements.

Assists in GPRO Quality reporting; manage various vendor s performance associated with the reporting and collaborate with the Care Management team.

Provide onboarding to new ACO providers and maintain communication with existing ACO providers.

Lead the ACO- Board Meeting, establish and manage the sub-committee meetings as necessary.

Meet with CMS Representative monthly.

Develop partnerships and collaborations with internal and external service providers to assist in implementing best care practices.

Other duties as assigned

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Additional Information:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

Paid Time Off (PTO)

Medical and Prescription Drug Insurance

Dental and Vision Insurance

Retirement Plans

Short & Long Term Disability

Life & Accidental Death Insurance

Tuition Reimbursement

Health Care/Dependent Care Flexible Spending Accounts

Wellness Programs

Voluntary Benefits (e.g., Pet Insurance)

Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered,

high-quality academic medicine in a compassionate and equitable manner, while delivering

a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer