Network Development and Contracting (Value Based Care) Medicaid (NJ/PA/NY)
Core
Manage Medicaid network compliance, deploy alternative payment models, and negotiate value-based contracts with providers to meet cost and quality goals.
Role type
Senior Managed Care Network Manager (Value-Based Care)
Builds
Value-based provider contracts and network strategic plans
Domain
US Healthcare / Medicaid / Value-Based Care
Required skills
Medicaid network contracting, alternative payment models, provider negotiation, contract performance management, network expansion, regulatory compliance, financial analysis, strategic planning, provider relationship management, data analysis
Preferred skills
Legal terms in provider contracting, system thinking, financial modeling
Technologies
Microsoft Office (Excel, PowerPoint)
Responsibilities
Negotiate payment arrangements with providers, oversee loading of executed value-based contracts, recruit providers to meet network targets, formulate and implement provider network strategic plans, represent the company with external constituents, review provider performance along the value-based continuum, coordinate provider information with internal departments.
Seniority
Senior, hands-on IC