Interested candidates should send a cover letter and resume to nguerino@csms-ipa.com

Current Openings

Operations Director

Summary: This is a highly responsible full-time position that will develop, deploy, and manage the program operations of the organization.  As a member of the management team the position will work closely with the Executive and Clinical Services Director to fulfill the organizational mission and success in health plan collaborations.   This an office based position in our Shelton, CT office. 

Essential Duties and Responsibilities:

• Develop a complete understanding of HEDIS and Medicare Stars Quality Programs, Healthcare Risk Adjustment and all health plan collaboration agreement terms and goals, and population health tools
• Develop a working understanding of payor population health reports and contracts
• Oversee the physician network recruitment, onboarding and management, physician database and member rosters
• Responsible for assessing the organizational needs related to data and network development
• Responsible for the annual development and management of the Physician Incentive Plans designed to achieve success in payor agreements
• Review and analyze population health reports related to quality and cost outcomes to evaluate performance, reveal trends and identify opportunities for improvement
• Oversee provider surveys and market research as needed to improve programs, understand network needs, meet health plan contract terms, and remain competitive in the market
• Develop written operational policies and procedures to ensure organizational effectiveness
• Oversee the health plan and physician payment schedules
• Primary contact to health plan partners and staff on collaboration operations
• Participate in CSMS-IPA webinars as assigned
• Write articles for the newsletter
• Oversee social media and website
• Attend Board of Director meetings and key health plan partner meetings 
• Other duties as assigned

Education, Knowledge and Skills:

Preferred candidate has a master’s degree in business, public health, healthcare management, information technology for healthcare, or related field and 5 years’ experience in a healthcare administration.  Candidate should possess knowledge of value-based health care delivery, physician practice administration, healthcare risk adjustment, HEDIS and Star quality measures, Medicare and commercial health plans.

Skill set must include:

• Project Management
• Quality/Process Improvement
• Analyze population health reports. 
• Able to work independently and as a team member
• Program design
• Computer proficiency in Microsoft Office Suite
• Strategic thinking
• Highly organized
• Excellent written and oral skills and capability
• Interpersonal Skills
• Ability to problem solve
• Self-Starter