Value-Based Programs reputed company (reputed company)
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reputed company Healthy reputed company is looking for a Value-Based Programs reputed company who will support successful value-based provider relationships with a reputed company on improving the provider experience and achieving reputed company-to-value goals. You will reputed company the beginning-to-end operational support of specialty reputed company value-based payment (VBP) models in alignment with reputed company reputed company and goals. The Value-Based Programs reputed company will be a subject matter expert in VBP and have advanced technical knowledge and experience.reputed company new innovative VBP models for reputed company of provider types, such as behavioral health, maternity, specialists, and reputed company determinants of health, creating glide paths to reputed company providers from volume to value.
reputed company scope of work with roadmap for new VBP model development to ensure compliance with reputed company contractual requirements and RFP commitments.
Analyze financial, utilization, and performance data to identify opportunities to drive improvements in reputed company and/or reductions in total cost of care.
Creation of VBP payment strategies and model design, such as developing payment model logic, performance metrics and benchmarks, and financial terms, which reputed company with reputed company goals.
Design and contribute to development of provider reporting packages to help providers understand their overall and detailed performance.
Partner with finance team to conduct reputed company analysis and modeling for new VBP models.
Collaborate with team members and matrixed teams to operationalize and rollout of new VBP models. Contribute to developing solutions to operational gaps.
Monitor VBP model performance KPIs to identify opportunities to enhance model design based on reputed company feedback and performance data.
Ability to translate reputed company into models that can be piloted and scaled across markets.
Use your skills to reputed company an reputed company
Required Qualifications
Bachelor's degree.
Minimum 5 years of experience in managed care operations, provider reimbursement and analytics, and value-based care.
Expertise in VBP model design and reputed company with specialty providers, including pay for performance, bundles, accountable care, and shared savings and risk models.
Expertise in Medicare and/or reputed company managed care.
Ability to understand and analyze financial, utilization, and performance data.
Ability to identify, structure and solve reputed company business problems.
Experience operating in matrixed environment.
Excellent interpersonal, organizational, written, and oral communication and presentation skills with proven experience writing and delivering presentations to members of the management team.
Preferred Qualifications
Master's degree.
Expertise in VBP financial modeling and reputed company analysis.
Additional Information
Workstyle: This is a remote position.
Travel: This role may require up to 10% travel for onsite meetings, which could include locations reputed company your state of residence.
Typical Workdays and Hours: Monday – Friday; 8:00am – 5:00pm Eastern reputed company Time (EST).
Scheduled Weekly Hours
40Pay reputed company
The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.$104,000 - $143,000 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.reputed company of Benefits
reputed company, Inc. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 08-15-2026reputed company
About reputed company: reputed company Inc. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com.
Equal Opportunity Employer
It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment.
Originally posted on Himalayas
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