Director, Enterprise Value Based Reimbursement Strategy – Required Experience in VBR, Preferred Experience in Managed Care
Employment Information
Job Description
Director leading enterprise-wide value-based reimbursement strategies and collaborating with market leadership and state partners. Spearheading VBR program solutions and ensuring compliance with regulatory expectations.
Responsibilities:
- Serve as the enterprise-wide VBR strategy lead to all markets and lines of business
- Lead ongoing engagements with market leadership to build VBR strategy plans
- Collaborate with state partners around VBR strategy
- Coordinate VBR program solutions for markets
- Support the development and execution of enterprise-level and market-specific VBR strategies
- Own collaborations post-RFP to build and implement effective VBR program plans
- Partner closely with market leadership to ensure compliance with state-level VBR requirements
- Build relationships with key stakeholders and external partners to shape VBR program strategy
- Oversee the development of policies, standards, benchmarks, performance metrics, and quality control mechanisms
- Lead negotiations and contract discussions with healthcare providers
- Provide leadership and mentorship to staff.
Requirements:
- Bachelor's degree in management, healthcare management, or related field is required
- Master's degree is preferred
- Five (5) years of experience in value-based reimbursement design, methodologies and/or VBR contracting, data analysis, reporting, or data support is required
- Three (3) years of Provider contracting or Provider relations is required
- Five (5) years of leadership/management experience is required
- Proficient in Microsoft Office to include Word, PowerPoint, Access - advanced proficiency in Excel
- Strong knowledge of Value Based Contracting methodologies and operations and/or experience in health care quality
- Knowledge of provider contracting and familiarity with provider network operations
- Must be fluent in English.
Benefits:
- Comprehensive total rewards package
- Bonuses tied to company and individual performance
- Health insurance
- Professional development opportunities
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