Hospital Value-Based Provider Performance - Market (must live in Nevada)- HYBRID
Core
Lead the implementation, monitoring, and optimization of hospital value-based payment programs to ensure contractual performance, quality outcomes, and financial targets are achieved.
Role type
Senior market lead for hospital and provider value-based payment programs
Builds
Value-based payment arrangements and provider performance initiatives
Domain
Healthcare payer industry, Medicaid Managed Care, value-based reimbursement
Required skills
Value-based reimbursement design, provider contracting, managed care operations, population health, healthcare quality, data analysis, stakeholder engagement, regulatory compliance
Preferred skills
Medicaid Managed Care experience, leading market-based provider incentive programs, knowledge of state healthcare markets and provider networks
Technologies
Microsoft Office (Word, Excel, PowerPoint)
Responsibilities
Lead implementation of value-based payment programs; develop strategies to maximize quality withhold performance; serve as subject matter expert for provider organizations; oversee provider participation and regulatory compliance; collaborate on care gap closure and quality improvement; monitor provider performance against metrics; manage multiple projects and disseminate information.
Seniority
Senior, hands-on IC
