Sr. Director, Care Delivery Org, Value Based Care Contracting
Core
Senior leader responsible for establishing, negotiating, and managing value-based provider relationships to drive total cost improvement and quality performance across the Care Delivery Organization's provider network.
Role type
Sr. Director, Value-Based Care Contracting
Builds
Value-based provider agreements and alternative payment models for a Medicare Advantage organization
Domain
Healthcare / Medicare Advantage / Value-Based Care
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Value-based contract negotiation, complex arrangement structuring (full-risk, shared savings, capitation), medical claims data analysis, financial modeling, cross-functional stakeholder management, team leadership, strategic planning
Preferred skills
Legal terms knowledge in provider contracting, CMS Stars and HEDIS technical specifications, Commercial/Medicare/Medicaid multi-line experience, systems thinking
Technologies
None explicitly stated
Responsibilities
Develop and execute value-based contracting strategy aligned with cost and quality goals; negotiate complex provider contracts with IPAs, health systems, and physician groups; analyze medical claims data to identify cost mitigation opportunities; lead and develop the contracting team; coordinate cross-functional support for contract execution; lead complex multi-stakeholder contracting projects
Seniority
Senior, hands-on IC with people management authority