Blueprint Payment Operation Administrator - Limited Service

Overview The Blueprint for Health was established to promote high-quality care that integrates advanced primary care, specialty care and community-based services to impact Vermonters' health and wellbeing. Advanced primary care encompasses prevention services as well as integration of care and services for people with complex health and social needs. Supported by multi-payer participation, the Blueprint has built a foundation of advanced primary care based on the Patient-Centered Medical Home (PCMH) model and bolstered by multi-disciplinary Community Health Teams (CHTs) that provide care coordination and linkages to services across the care continuum and in the community. Essential to the success of the PCMHs and CHTs is the clear articulation of standards, intervention, outcome measures and data analytics. This position is responsible for directing and supporting the administration of quality initiatives for the Blueprint Program, including work associated with the Rural Health Transformation (RHT) Project and helping to create a coordinated infrastructure to accelerate the modernization of the Vermont Blueprint for Health's Advanced Primary Care Model. The role ensures expert construction of quality measures, supports data-driven program evaluation, and serves as a key liaison between internal teams and external stakeholders. The position requires strong analytical skills, attention to detail, and the ability to communicate a wide variety of best practices related to advanced primary care standards, prevention guidelines, sub-specialty best practices and case management standards combined with experience translating complex data into actionable insights. Key Responsibilities

• Support the administration of payments and quality initiatives for the Blueprint Program, ensuring accuracy, consistency, and compliance with program rules and policies. 
• Communicate with field staff and community partners to gather, validate, and interpret program-related information. 
• Extract, integrate, and transform data from multiple sources using appropriate data systems and tools; apply program rules and policy guidance to calculate provider payments and quality performance measures. 
• Document methodologies, workflows, and processes related to quality reporting, datasets, and analytical tools to ensure transparency, reproducibility, and compliance. 
• Develop and complete recurring data and narrative reports on quality metrics and program performance, supporting evaluation and continuous improvement efforts. 
• Analyze program data, quality measures, and provider metrics in collaboration with the Blueprint Data Team to inform reporting and program improvement. 
• Communicate payment and quality information to internal and external stakeholders, respond to inquiries, and maintain clear, consistent communication materials for program operations and data use across insurers, providers, field teams, and agency staff.

The Rural Health Transformation (RHT) project is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $195,053,740.44 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.

Who May Apply This position, Blueprint Payment Operation Administrator - Limited Service (Job Requisition #54892), is open to all State employees and external applicants. It is a Limited Service position, which is non-tenured and authorized for a specific period of time. Limited Service positions are established for specially funded projects or programs. If you would like more information about this position, please contact kristin.kellett@vermont.govResumes will not be accepted via e-mail. You must apply online to be considered.

Please note that multiple positions in the same work location may be filled from this job posting.

AHS BACKGROUND CHECKS

Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.

Environmental Factors Duties are performed primarily in a standard office setting. Occasional travel may be required for which private means of transportation must be available. Some work outside of normal office hours may be required. Minimum Qualifications Master's degree in health care profession, public administration, business administration or related field AND three (3) years or more at a professional level where the duties included any combination of analytical work, professional report writing and payment administration. OR Bachelor's degree in public health, health care administration, health care profession, health and human services, business administration or related field AND five (5) years or more at a professional level where the duties included any combination of analytical work, professional report writing analytical work, professional report writing and payment administration. Preferred Qualifications A degree in Mathematics or Public or Business Administration Special Requirements Candidates must pass any level of background investigation applicable to the position. Total Compensation As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including: 80% State paid medical premium and a dental plan at no cost for employees and their families Work/Life balance: 11 paid holidays each year and a generous leave plan State Paid Family and Medical Leave Insurance (FMLI) Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan Tuition Reimbursement Flexible spending healthcare and childcare reimbursement accounts Low cost group life insurance Incentive-based Wellness Program Qualified Employer for Public Service Student Loan Forgiveness Program Want the specifics? Explore the Benefits of State Employment on our website.

Equal Opportunity Employer The State of Vermont celebrates diversity, and is committed to providing an environment of mutual respect and meaningful inclusion that represents a variety of backgrounds, perspectives, and skills. The State does not discriminate in employment on the basis of race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, membership in an employee organization, family medical history or genetic information, or family or parental status. The State's employment decisions are merit-based. Retaliatory adverse employment actions by the State are forbidden.