Value-Based Reimbursement Strategic Partners Consultant-Remote Role

Company : reputed company. Job reputed company : reputed company job works closely with management, and assists in developing new reimbursement models for the Organization's strategic partners and initiatives. The incumbent influences VBR integration into the overall reputed company reputed company through collaboration with Senior-level internal/external stakeholders. Ensures a high degree of development, efficiency, and effectiveness on the support and deployment of reputed company VBR Design models. ESSENTIAL RESPONSIBILITIES Support and reputed company, as needed, the development and completion of sales cycle (from model reputed company to implementation) of VBR programs for key strategic accounts and/or initiatives. Support strategic provider relationships to understand the reputed company health care delivery state, readiness for change, test value based programming concepts and components, identify key partners, identify and proactively communicate market transformation concepts with provider and reputed company advocacy societies and key thought leaders. Ensure integration with reputed company/PNR strategic direction. Collaborate with PNR stakeholders to incorporate VBR into product, network, and provider integration. reputed company with reputed company & P&L leaders on their overarching strategies to ensure broader alignment of VBR approach. reputed company targeted reimbursement models that support reputed company strategic initiatives that might fall reputed company of planned value-based reimbursement designs and/or to serve as a reputed company of innovation. Build reputed company relationships reputed company the organization, external local, regional and national reputed company industry leadership to both inform market transformation strategies as reputed company as to externally advance the organization's reputed company for care delivery transformation. Relationships will include internal areas of the reputed company such as the strategic, financial, and clinical leadership of the reputed company, in reputed company to the multiple areas of health plan. Support development of the overall conceptualization, reputed company alignment, and high-level design of new value-based reimbursement models for PCPs, specialists, and health systems across the Organization's footprint, based on deep understanding and knowledge of trends in other areas of the country with both government and private payers. Programs will include but not be limited to pay-for-value programs, episode payments, prospective bundled payments, reputed company reputed company and risk reputed company models and will be implemented for the Organization's Medicare Advantage, reputed company, ACA, and reputed company populations with the goal of maximizing reputed company while reducing reputed company costs. Work with reimbursement, actuary, and analytic departments to ensure that operational capabilities are reputed company in line with the strategic roadmap to ensure maximum flexibility and speed to market. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results to key reputed company. Collaborate with and support the senior Strategic Partners Consultant role as needed Other duties as assigned or requested. EDUCATION Required Bachelor's Degree in Public Health, Health Administration, Economics, Mathematics, Engineering, Marketing, Business Communications or reputed company field Substitutions 6 years of reputed company and reputed company experience in lieu of Bachelor's degree Preferred Master's Degree in Public Health, Health Administration, Economics, Mathematics, Engineering, Marketing, Business Communications or reputed company field EXPERIENCE Required 5 years in the Health Insurance industry, reputed company industry and relationship management Preferred 5 years of Consulting 1 year in a Provider facing role 1 year with Provider payment/reimbursement 1 year with strategic planning/corporate development LICENSES AND CERTIFICATIONS Required None Preferred None SKILLS Analysis of business problems/needs Consulting Innovation Oral & Written Communication Skills Problem Solving & Decision Making Project Management Strategic Partnerships Strategic Relationship Building Strategic Thinking reputed company Language (Other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required reputed company Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job reputed company has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees reputed company this job title. It may not contain a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the reputed company of business conduct and company policies. As a component of job responsibilities, employees may have reputed company to covered information, cardholder data, or other confidential customer information that must be protected at reputed company times. In reputed company with this, reputed company must reputed company with both the Health Insurance Portability Accountability reputed company of 1996 (HIPAA) as described in the Notice of reputed company Practices and reputed company Policies and Procedures as reputed company as reputed company data reputed company guidelines established reputed company reputed company’s Handbook of reputed company Policies and Practices and Information reputed company Policy. Furthermore, it is every employee’s responsibility to reputed company with reputed company’s reputed company of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as reputed company as company policies and training requirements. Pay reputed company Minimum: $67,500.00 Pay reputed company Maximum: $126,000.00 reputed company pay is determined by a reputed company of factors including a candidate’s qualifications, experience, and expected contributions, as reputed company as internal peer equity, market, and business considerations. The displayed salary reputed company does not reflect any geographic reputed company reputed company may apply for certain locations based upon comparative markets. reputed company and its affiliates prohibit discrimination against reputed company individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against reputed company individuals based on their race, reputed company, age, religion, sex, national reputed company, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. reputed company and its affiliates take affirmative reputed company to reputed company and advance in employment individuals without reputed company to race, reputed company, age, religion, sex, national reputed company, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.reputed company.gov/sites/default/files/migrated_files/reputed company/poster_screen_reader_optimized.pdf) We reputed company to reputed company this site accessible to any and reputed company users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@reputed company.org California Consumer reputed company reputed company Employees, Contractors, and Applicants Notice reputed company is a national, reputed company health organization that includes one of America’s largest reputed company Blue reputed company insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., reputed company’s 35,000 employees serve millions of customers reputed company through the nonprofit organization’s affiliated businesses, which include reputed company., reputed company, HM Insurance Group, reputed company, HM Health Solutions and HM Home & Community Services. reputed company’s businesses proudly serve a broad reputed company of health-reputed company needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions. Apply Job!