Senior Manager, Value-Based Care Contracting (Louisiana)
Core
Senior Manager leading provider network management and value-based contracting strategy for Louisiana Medicaid, focusing on negotiating contracts, managing provider relationships, and ensuring compliance with state/federal obligations.
Role type
Senior Manager, Value-Based Care Contracting & Network Management
Builds
Provider networks and value-based contract relationships for Louisiana Medicaid
Domain
Healthcare / Medicaid / Value-Based Care
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Provider network management, contract negotiation, Medicaid reimbursement models, value-based care strategy, financial analysis, quality performance measurement, regulatory compliance, market analysis, stakeholder alignment
Preferred skills
Problem solving, decision making, collaboration, growth mindset, execution, business intelligence
Technologies
None stated
Responsibilities
Direct groups to manage provider contract performance; negotiate network contracts and establish reimbursement rates; advise on provider performance and network adequacy; implement improvement initiatives for regulatory compliance; develop and expand provider networks; conduct market analysis and competitive positioning; interface with finance for budgeting and forecasting; consult with internal teams to align goals; provide strategic recommendations to leadership
Seniority
Senior, hands-on IC with strategic oversight
