Director Of Value Based Contracting Jobs

Analytical, quantitative, and metrics-driven; knowledgeable on how to interpret value-based program requirements and understand the impact on financial results

Identify care center staff/provider education opportunities

Manage population health team member(s)

Collaborate with Credentialing team to Manage Value-Based Provider Rosters

5+ years of relevant experience as a project or program leader within healthcare

Experience in value-based payer programs, risk, and successful tactics to improve quality and generate savings required.

Act as change agent and support clients throughout the change management journey as a trusted advisor.

Comfortable and capable reaching out to the top 100 property management companies in North America

Understanding of business development and confidence with change management

Learning management system by SAP Litmos

Our mission is: To create exceptional experiences by offering the most connected platform in the industry

Ability to communicate complex solutions and technical real estate knowledge.

Line management responsibilities in providing oversight and mentorship of a small number of Value Demonstration team members

Ensuring close management to agreed objectives throughout the project process, identifying and responding to changes in scope as appropriate.

Extensive experience (10+ years) in the healthcare/pharmaceutical industry, including but not necessarily limited to evidence-based communication, HEOR and market access

Project strategy and leadership experience in relation to projects and project teams

Previous experience in a consultancy environment

Commercial acumen and proven consultancy skills

Minimum Required Education And Years Of Experience

Set milestones and manage external vendors and consultants for timely project deliverables

Prioritize tasks, and organize and manage multiple projects while maintaining an understanding of national and global perspectives and objectives

Support valuable relationships with key pricing and reimbursement decision makers. May manage cross-functional teams or work groups

Market Access experience in HIV, hepatitis or oncology is an advantage

Excellent communication, writing and presentation skills

Minimum 5 years’ management level experience

Minimum 7 years’ experience in managed care contract negotiations from a payor or provider lens

Experience negotiating managed care contracts with spend or revenue in the tens of millions of dollars (US $) is strongly preferred

Both payor (national or regional) and provider managed care contracting experience is a plus

Manage staff to include selection, work allocation, training, coaching, and mentoring, problem resolution, performance evaluation, feedback, and corrective action

Experience with Ancillary (PT / OT) contracting is strongly preferred

7+ years of experience in managed care, quality improvement, or government program management.

Strong project management skills, including the ability to manage multiple projects simultaneously, prioritize tasks, and deliver results.

Experience with project management tools.

Responsible for value-based care program maintenance, including things like provider roster management, government program database entry, and tactical performance.

Develop tactical plans to ensure consistent deployment of ACO REACH education and program implementation across markets.

Manage and facilitate periodic reports, as well as any necessary ad hoc reports, to provide insight into REACH performance.

Experience from the payor and provider side preferred, one required.

Experience designing and operating multiple VBC arrangement types (bundles, capitation, shared savings/risk) preferred

Sentara Health Plans is currently hiring a Value Based Care (VBC) Manager!

This is a Full Time position with day shift hours and great benefits!

Required: Healthcare - 5 years

3+ years of value-based program design and methodology development

Work independently, with strong self-discipline and prioritize and manage time effectively

Minimum 8 years of healthcare software & analytics solutions sales experience

Proven history of solutions-selling capability with strong consultative skills and an ability to craft business solutions to complex business problems.

Deftly manage lengthy and complex sales cycles with disparate buying committees and establish strong client-specific value propositions with key stakeholders

Exceptional presentation, oral, written, and verbal communication skills

Experience with CRM tools and leveraging B2B sales tools

You will also assume other responsibilities as assigned by the Value-Based Care Advisor

2+ years experience in clinical or vendor relevant experience, preferably in Ophthalmology, Dermatology, and Ambulatory Surgery Centers

Experience in EHR(s) such as Nextech (Ophthalmology or Dermatology), Nextgen, EyeMD, iMedicWare, Modernizing Medicine EMA, Epic, Cerner, and Allscripts

Excellent verbal and written communication skills

Ability to translate business requirements into non-technical, lay terms

This role can be remote, but candidates are preferred to be located within the Eastern time zone

3+ years of experience in finance, data, and/or software engineering capacity

3+ years of experience in one or more of the following disciplines: Statistics, Quantitative Finance, and Software Engineering

Able to seamlessly switch between research, development, and product management

Manage release, rollout, and deployment of data-related products

Strong experience in SQL for querying databases

Develop new tools and improve existing tools used to create and test OpenInvest’s investment methodologies

Well-organized with strong project management skills and ability to prioritize workloads.

Knowledge of the drug development & commercialization process, HTA assessment methodologies, global reimbursement, US payers and regulatory requirements.

Experience developing submissions to European-based HTA organizations.

Experience in rare diseases strongly preferred.

Excellent communication, collaboration and influencing skills across internal and external stakeholders.

Proactively propose and prepare outcomes research protocols, statistical analysis plans (SAPs), and reports.

Provider relationship or customer relationship management

Bachelor’s degree in business administration or 5+ years professional experience in contracting.

Knowledge of HIPAA, AB1455, NextGen, NurseCo,, Televox, or any other healthcare standards/software

Education: 4 Year / Bachelors Degree, required. Bachelor’s Degree in business administration or related field, required. Graduate Degree, preferred.

Our team members are part of an environment that fosters team work, team member engagement and community involvement.

The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.

5+ years of finance, data analysis, accounting, or related experience

PowerPoint capabilities with desire to develop executive level presentation skills

Coordinate with the broader finance and accounting team(s) on existing and new financial policies/processes

Strong communication skills – written and oral

Excel based financial modeling experience required

Tableau and Alteryx experience preferred

10+ years of account management experience. Internal or external agency experience is a must. In-house agency experience a plus

Experience leading teams. Must have strong leadership skills and proven ability to develop and inspire talent

Develop a deep understanding of your marketing partner’s line of business and serve as a knowledge base for creative teams.

Mentor and manage team of 3 Account Supervisors/Managers

Experience leading and fostering senior-level relationships and developing a deep understanding of various lines of business.

Ability to effectively manage expectations and be proactive, not reactive.

Responsible for oversight and executive leadership of OMB scorecard programs relating to e-Government, real property, environment, transportation, and energy management programs.

Describe your experience in all phases of contracting for systems sustainment, services, material, supplies, and support equipment.

Veterans Preference is not applicable in the Senior Executive Service.

Initial appointments are required to serve a 1-year probationary period

Narrative Statements for the ECQs must not exceed 10 pages

Directing the work of an organizational unit;

Proven contract preparation skills, with an in-depth knowledge of Medicare and other reimbursement methodologies

Manage the provider relationship, ensuring that best-in-class servicing is delivered, including onboarding, training, issue resolution, etc.

8-10 years of experience working within healthcare

5+ years of provider contracting experience to include complex negotiations

Proven leadership experience, including teambuilding

Value Based Contracting Experience in Medicare Advantage

Experience managing and influencing client relationships at the senior executive level. Ability to present and interact with all levels of management.

Build and drive roadmaps to connect the brand through all marketing channels aligned with the total customer experience.

Listen to our consumers and develop a strategy to respond and manage/encourage the community along

Bachelor’s degree or equivalent work experience. MBA highly preferred.

8+ years of marketing experience.

Experience building and scaling a consumer brand nationally (or globally).

Experience managing and influencing client relationships at the senior executive level. Ability to present and interact with all levels of management.

Build and drive roadmaps to connect the brand through all marketing channels that are aligned with the total customer experience.

Listen to our consumers and develop strategy to respond and manage/encourage the community along with building the reputation of the brands.

Bachelor’s degree or equivalent work experience. MBA highly preferred.

8+ years of marketing experience.

Experience building and scaling a consumer brand nationally (or globally).