Actuarial Analyst II

Delaware Valley Accountable Care Organization (DVACO), located in Radnor, PA has a newly created opportunity for Actuarial Analyst II The DVACO is a limited liability joint venture corporation comprised primarily of two major health systems: Jefferson Health and Main Line Health, serving the Greater Philadelphia region and southern New Jersey. DVACO was accepted into the Medicare Shared Savings Program for the 2014 start year, and now includes 2,000 physicians serving over 180,000 lives. DVACO contracts with four commercial payers and serves Medicare beneficiaries, making it the region’s largest Accountable Care Organization. At the core of operations, DVACO is committed to working towards the achievement of the triple aim: better outcomes, better experiences, and smarter spending. Our culture embraces innovation of healthcare delivery models through collaborative work with physician practices, health systems and employee wellness programs. Why Work for Main Line Health? We are committed to providing exceptional care with empathy and compassion for people at all stages in life. Our Diversity, Respect and Inclusion Initiative celebrates our differences and our similarities. Ultimately, we want everyone to feel respected for who they are. The Actuarial Analyst II will be assist\lead with the development of new measures and metrics, creates new reports and analytical solutions, produces analytics used to measure quality and efficiency performance quantifying DVACO, MLH\JHS PODs and other associated business partners’ performance in multiple Value Based Purchasing contracts. Responsibilities include supporting the various reporting and analysis needs of the DVACO and the PODs (i.e., JHS \ MLJ Integrated Network (CIN). ESSENTIAL ACCOUNTABILITIES: Produces system-wide reporting and performance management arrays in support identifying open care gaps, utilization leakage/keepage and other...

Actuarial Analyst 3

JOB SUMMARY: The Actuarial Analyst 3 will be responsible for interpreting data, leveraging analytical tools and making recommendations to key stakeholder at the DVACO and Jefferson (JHS) \Mainline Health (MLH) PODs. Is seen as a subject matter expert and will lead DVACO governance committees and maintain ongoing relationships with all levels of management, key third party staff, internal constituents and external customers at participating CIN organizations to gather information, share data and effectively move projects forward. Provides supervisory guidance to less experienced analysts and proactively coaches and mentors others throughout the system. ESSENTIAL ACCOUNTABILITIES: Ability to serve department as a subject matter expert. Works with Vice Presidents, Medical Directors, Clinical Operations, Finance, Network Contracting, IT and other POD departments or stakeholders. Provides supervisory guidance to less experienced analysts. Proactively coaches and mentors others throughout the system. Fully responsible for interpreting, organizing, executing, coordinating, evaluating, and communicating complex projects under the guidelines of leadership. Produces analytics used to measure and quantify DVACO and associated business partners’ experience through reporting using CMS data and other internal/external data. Works with the DVACO clinical and financial team to identify trends and patterns in these complex data sets, draw conclusions, develop summaries utilizing charts, graphs and images to appropriately display the information for presentations to stakeholders. Works with and educate the POD quality leadership, the TIN and clinical practice leadership to present statistical and operational reports of the metrics including analysis of progress towards goals and benchmarks. Provides analytical support (consultation, design, analysis) to business units to understand and monitor performance as it relates to cost and quality. Interfaces directly with customers and management...

Population Health Application Analyst III

JOB SUMMARY: The Population Health Application Analyst III will be responsible for validating and interpreting data to support population health management analytical tools and applications. This position is seen as a subject matter expert and will lead DVACO governance committees and maintain ongoing relationships with vender management, DVACO leadership, POD (Jefferson and MLH) leadership, key third party staff, internal constituents and external customers at participating CIN organizations to gather information, share data and effectively move projects forward. Stays current with vender applications and manages upgrades and new releases across internal and external stakeholders. Provides guidance to less experienced analysts and proactively coaches and mentors others throughout the system. ESSENTIAL ACCOUNTABILITIES: Ability to serve department as a subject matter expert. Works with Vice Presidents, Medical Directors, Clinical Operations, Finance, Network Contracting, IT and other POD departments or stakeholders. Provides supervisory guidance to less experienced analysts. Proactively coaches and mentors others throughout the system. Fully responsible for interpreting, organizing, executing, coordinating, evaluating, and communicating complex projects under the guidelines of leadership Demonstrates knowledge in the relevance/importance of work and its impact on operations Participates in all required meetings, educational overview sessions, product implementation and review sessions as communicated by leadership Communicates effectively within informal and formal channels, including written communications, presentations and informal communications with peers, management and business partners. Interacts with co-workers, visitors, and other staff consistent with DVACO values. Develops a deep understanding of the functionality of the population health applications to consult and strategize on complex issues and implement solutions Accountable for all aspects of payer contracts integration and implementation; data acquisition and data management, advanced SAS or...

Becker’s Hospital Review Names 110 ACOs to Know

Becker’s Hospital Review has named the Delaware Valley Accountable Care Organization (DVACO) to their 2017 list of 110 ACOs to Know. The list features a variety of Medicare and commercial payer ACOs, led by hospitals, health systems, physician groups and other organizations, that have experienced success with their quality metrics. “We are honored to be included as one of Becker’s 110 ACOs to Know,” says Katherine Schneider, MD, President of the DVACO. “Since its inception, the DVACO has enrolled more than 200,000 patients who are receiving coordinated care as part of our multi-health system joint venture. DVACO has also become one of the largest ACOs in the country and has experienced tremendous success as one of the top performing ACOs under the Medicare Shared Savings Program. As we continue to grow, DVACO will remain serving as a catalyst for change in the Philadelphia region on how to help providers come together as more than the sum of their parts in their journey from volume to value.” The Becker’s Healthcare editorial team selected ACOs for inclusion based on quality and cost performance, advanced tracks of the Medicare Shared Savings Program and the innovative nature of commercial agreements. ACOs are presented in alphabetical order and are either listed by formal name of the ACO or, if the organization has several contracts, by the name of the health system or provider group associated with those ACOs. The full list can be read here: http://www.beckershospitalreview.com/lists/110-acos-to-know-2017.html.   About the Delaware Valley Accountable Care Organization (DVACO) The Delaware Valley Accountable Care Organization (DVACO) is a limited liability company that is owned by Main Line Health...

DVACO Selected as one of 79 Renewing Medicare Shared Savings Program ACOs

The Delaware Valley Accountable Care Organization (DVACO) was selected as one of 79 renewing Medicare Shared Savings Program ACOs, providing Medicare beneficiaries with access to high-quality, coordinated care across the United States, CMS announced today. Beginning January 1, 2017, a total of 480 Shared Savings Program ACOs are serving over 9 million assigned beneficiaries. “DVACO has become one of the largest ACOs in the country and has experienced tremendous success in both high quality and smarter spending,” says Katherine Schneider, MD, President of the DVACO. “We are honored to have been selected once again to continue our mission of transforming the care delivery model in the Philadelphia region and beyond.” Today, the Centers for Medicare & Medicaid Services (CMS) announced over 359,000 clinicians are confirmed to participate in four of CMS’s Alternative Payment Models (APMs) in 2017. Clinicians who participate in APMs are paid for the quality of care they give to their patients. APMs are an important part of the Administration’s effort to build a system that delivers better care and one in which clinicians work together to have a full understanding of patients’ needs. APMs also strive to ensure that patients are in the center of their care, and that Medicare pays for what works and spends taxpayer money more wisely, resulting in a healthier country. “By listening to physicians and engaging them as partners, CMS has been able to develop innovative payment reforms that bring physicians back to the core practice of medicine – caring for the patient,” said Acting Administrator, Andy Slavitt. “By reducing regulatory burden and paying for quality, CMS is offering solutions that...