Value-Based Programs Lead (VBP Design)
Core
Lead operational support for specialty Medicaid value-based payment (VBP) models to improve provider experience and achieve path-to-value goals.
Role type
Senior IC Value-Based Programs Lead (VBP Design)
Builds
VBP payment strategies, model logic, performance metrics, benchmarks, and financial terms for specialty providers.
Domain
US Healthcare / Medicaid Managed Care
Required skills
VBP model design, financial modeling, utilization analysis, performance data analysis, Medicaid managed care expertise, strategic planning, operational rollout, KPI monitoring, complex problem solving
Preferred skills
VBP financial modeling, impact analysis, Medicaid managed care health plan experience
Technologies
None explicitly stated
Responsibilities
Develop innovative VBP models for provider types like behavioral health and specialists; Align scope of work with roadmap for new VBP model development; Analyze financial, utilization, and performance data to drive improvements; Create VBP payment strategies and model design; Design provider reporting packages; Partner with finance team for impact analysis; Collaborate on operationalizing and rolling out new VBP models; Monitor VBP model performance KPIs
Seniority
Senior, hands-on IC