Lead Director, Network Management (Value-Based Care)
Core
Strategic leadership for Medicaid value-based care (VBC) initiatives, managing complex provider relationships and contract performance to improve quality and reduce costs.
Role type
Senior Director, Value-Based Care Strategy & Operations
Builds
Medicaid value-based contracting arrangements and provider performance strategies
Domain
Healthcare / Insurance / Managed Care
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Medicaid product expertise, provider relationship management, contract negotiation, team leadership, data-driven performance monitoring, regulatory compliance, strategic planning
Preferred skills
Provider contracting, plan design, product offerings, matrixed environment management
Technologies
Data reporting tools, contract management systems
Responsibilities
Manage high-value provider relationships and ensure contract compliance; oversee VBS Provider Performance team; drive provider performance against business objectives; monitor contract performance using data and reporting; develop and execute Medicaid VBC strategies; coordinate internal subject matter experts for external meetings; identify training needs and oversee team development
Seniority
Director, strategic leadership with supervisory responsibilities
