Senior Value-Based Programs Professional
**Overview:** The Senior Value-Based Programs Professional will drive Value-Based Payment (VBP) strategy, implementation, and ongoing support for our Medicaid markets from beginning to end. This position will translate market VBP requirements into tactical plans that can be executed to ensure timely and successful new market launches. **Responsibilities:**
Ā Oversee the implementation of Medicaid VBP models in new markets to ensure timely and accurate delivery of health plan VBP operational functions, including market leaders, provider operations, and provider services areas
Ā Lead market implementation workgroups and meetings with senior market leadership beyond new market implementation, including identifying business owners and subject matter experts, identifying potential business or operational gaps and state nuances
Ā Partner with cross-functional and matrixed teams to drive key strategic and operational decisions, and oversee implementation progress and milestones
Ā Develop and maintain project plans, and other project management functions
Ā Convene matrixed operational partners to solve for operational gaps/barriers
Ā Support development of associate and provider education materials
Ā Drive process improvements and operational gap closure to improve efficiencies of VBP implementations
Ā Identify and solve problems that impact the achievement of results for the department and begin to influence the department's strategy
Ā Build and maintain strong internal working relationships at all levels of the organization and across the enterprise
Ā *Qualifications:**
Ā Bachelors Degree
Ā 3+ years of experience in managed care operations, value-based care, and/or provider reimbursement and analytics
Ā 3+ years of project management experience and operating in a matrixed environment
Ā Understanding of Medicaid and/or Medicaid managed care
Ā Proven expertise in driving operational efficiencies and management of timelines and processes
Ā Highly adept at managing processes from concept to completion ensuring on-time, on-budget, and on-target results
Ā Ability to understand and analyze financial, utilization, and performance data
Ā Ability to identify, structure and solve business problems
Ā Excellent interpersonal, organizational, written, and oral communication and presentation skills with proven experience writing and delivering presentations to members of the management team
Ā *Benefits:**
Ā Competitive benefits that support whole-person well-being
Ā Medical, dental and vision benefits
Ā 401(k) retirement savings plan
Ā Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Ā Short-term and long-term disability
Ā Life insurance
Ā Many other opportunities
Apply Now
Ā Oversee the implementation of Medicaid VBP models in new markets to ensure timely and accurate delivery of health plan VBP operational functions, including market leaders, provider operations, and provider services areas
Ā Lead market implementation workgroups and meetings with senior market leadership beyond new market implementation, including identifying business owners and subject matter experts, identifying potential business or operational gaps and state nuances
Ā Partner with cross-functional and matrixed teams to drive key strategic and operational decisions, and oversee implementation progress and milestones
Ā Develop and maintain project plans, and other project management functions
Ā Convene matrixed operational partners to solve for operational gaps/barriers
Ā Support development of associate and provider education materials
Ā Drive process improvements and operational gap closure to improve efficiencies of VBP implementations
Ā Identify and solve problems that impact the achievement of results for the department and begin to influence the department's strategy
Ā Build and maintain strong internal working relationships at all levels of the organization and across the enterprise
Ā *Qualifications:**
Ā Bachelors Degree
Ā 3+ years of experience in managed care operations, value-based care, and/or provider reimbursement and analytics
Ā 3+ years of project management experience and operating in a matrixed environment
Ā Understanding of Medicaid and/or Medicaid managed care
Ā Proven expertise in driving operational efficiencies and management of timelines and processes
Ā Highly adept at managing processes from concept to completion ensuring on-time, on-budget, and on-target results
Ā Ability to understand and analyze financial, utilization, and performance data
Ā Ability to identify, structure and solve business problems
Ā Excellent interpersonal, organizational, written, and oral communication and presentation skills with proven experience writing and delivering presentations to members of the management team
Ā *Benefits:**
Ā Competitive benefits that support whole-person well-being
Ā Medical, dental and vision benefits
Ā 401(k) retirement savings plan
Ā Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Ā Short-term and long-term disability
Ā Life insurance
Ā Many other opportunities
Apply Now