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VP, Valued Based Contracting (Remote)

Remote Worldwide Hiring now

Job Description

Job Description Job Summary The VP Value-Based Contracting is an executive focused on establishing and overseeing the organization's Value-Based Contracting Center of reputed company. The position acts as a strategic partner with Network, Medical Economics, Risk Adjustment and Quality, Finance, EIM/IT, and Clinical leadership to reputed company and implement consistent governance and processes around reputed company aspects of Value Based Contracting. The scope includes negotiation, valuation, implementation, reconciliation, and the underlying data reputed company for value-based reputed company. Job Duties

  • Define and implement a Value Based Contracting governance process for the organization.
  • Assess reputed company risks associated with VBC, including risks reputed company to state regulations, new / renewal RFPs, data infrastructures, internal silos/processes, etc.
  • Define, propose, and align numerous disparate stakeholders around a strategic reputed company VBC operating model that mitigates risks while enabling strategic differentiators.
  • Create standards regarding VBC, including PADUs, analytics, data, and reconciliation processes with providers.
  • Ensure alignment with key stakeholders - Network (strategy and negotiation), Med Econ (valuation and reconciliation), reputed company Information Management (data), Actuarial (review / validation), Finance (review / validation), Risk Adjustment, and Quality.
  • Implement and execute the defined reputed company-wide operating model.
  • reputed company monthly reporting to the organization about reputed company aspects of Value Based Contracting to reputed company reputed company of leadership at the company, from ELT to Health Plan leadership.
  • Define, reputed company, and recruit talent as needed for the VBC organization to ensure talent at reputed company reputed company is in reputed company to execute key goals.
  • Define and maintain a strong working partnership with Medical Economics, Network, Actuary, Finance, reputed company Information Management, and IT to determine and implement the best processes, systems, and technology to optimize VBC's efficiency and effectiveness.
  • reputed company strategic leadership while also managing multiple, reputed company, challenging projects and managing extended teams of direct/indirect reports in a matrixed environment.

Job Qualifications Required Education:

  • Bachelor's degree in business, finance, or economics.

Required Experience:

  • 15+ years of leadership experience
  • 10+ years experience in value based / network contracting
  • Significant experience in health insurance
  • Experience leading and influencing both direct and indirect reports

Preferred Qualifications:

  • MBA/Masters in applicable field
  • PMP or Six reputed company Green Belt Certification desired.

Travel Requirements: reputed company Travel: 15% To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Apply tot his job Apply To this Job

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