Job Details

Description

• Design, develop and operationalize new clinical integration programs for key partners in market. Will act as primary program lead for value-based deals and special provider projects.
• Design, develop and operationalize next-generation payment models for key partners in market. Will collaboratively build next-gen models with key ACO leaders, PO leaders, and high-value physicians in market.
• Act as chief negotiator, contract manager, and relationship manager for all value-based partnerships in market. Will be lead for ensuring that program goals and terms are aligned with contract constructs.
• Act as the primary relationship manager for key partners in market and provide ongoing BAU support to key provider partners. Sr. Strategic Contracting Manager will:
  • Be the primary business lead for all BAU processes associated with VB programs.
  • Lead provider meetings.
  • Lead the process to build clinical pathways with provider partners.
  • Lead payment integrity and attribution integrity processes for all VB programs.
  • Lead design and operations for BAU/ad-hoc/executive reporting for all VB programs.
  • Ensure that all of the above will be coordinated with targeted provider partners.
• Act as internal program manager for all value-based projects. Sr. Strategic Contracting Manager will:
  • Lead matrixed staff complement, comprised but not limited to program office (Medicare/MedQuest), legal, clinical operations, analytics-IT, finance staff.
  • Ensure that all internal divisions are apprised on status of all VB programs.
  • Lead all internal meetings with matrixed team members.
• Perform all other miscellaneous responsibilities and duties as assigned or directed.

#LI-Hybrid Qualifications

• Bachelor's degree and three years of related work experience; or an equivalent combination of education and related work experience.
• One year of leadership experience or experience leading teams.
• Excellent written and verbal communication skills (with distinction in driving discussions with senior executives internally to HMSA and across partner organizations and community leaders).
• Knowledge of health care payment and delivery models and systems; understanding of health plan role and industry.
• Strategic planning and contracting or health care administration/finance experience.
• Must have valid driver's license, access to an automobile with current license, registration, and no-fault insurance.