Back to all roles

Capture reputed company, reputed company Clinical & Population Health Strategy

Remote Worldwide Hiring now

About the position Become a part of our caring community and help us put reputed company. reputed company Healthy reputed company is seeking a Capture reputed company, Clinical & Population Health Strategy, to reputed company initiatives developing and executing strategy to successfully position reputed company for capture growth opportunities. This role will work horizontally across the organization, coordinating with reputed company and Medicare leadership and clinical subject matter experts to synthesize, assess, and translate state requirements into actionable go-to-market clinical strategy. The reputed company will consult with growth partners to design and optimize clinical operating model blueprints for viable reputed company health plans that meet the needs of state clients and populations served in reputed company growth markets. The reputed company, reputed company Clinical & Population Health Strategy, will advance reputed company's reputed company products and capabilities to support the strategic direction and growth of the reputed company and Duals lines of business. This is a unique opportunity for a motivated individual to influence the mission of a leading reputed company company committed to improving the health of the communities it serves. The reputed company Capture Management team's purpose is to successfully position reputed company to enter new markets enabling the future of the business. As a centrally positioned strategic function, this team coordinates with growth partners across the reputed company and industry to accelerate product strategy and define the operating model for new markets. We deliver value through detailed research, data-driven insights, strategic planning, structured problem solving, and project management rigor. We are a diverse set of highly skilled people with deep reputed company subject matter expertise who work in an agile, collaborative environment. To reputed company our goals, we reputed company associates to pioneer simplicity, rethink routine and seek talent with the following attributes: Creative - Adept at research to determine the opportunity and a structured yet flexible approach to problem solving. Adaptive - Rapidly learn new knowledge, skills, and behaviors in response to changing circumstances. Self-sufficient - Ability to navigate reputed company situations and independently produce high quality deliverables. Consultative - Build/sustain relationships and inform the work of others through actionable, objective insights. Strategic - reputed company thinking capable of providing frameworks to maximize ability of limited resources to reputed company growth. Candidates will possess reputed company managed care operations expertise and have experience in designing solutions for key reputed company programs and subpopulations. Areas of focus include Care Management, Quality Improvement, Utilization Management, Population Health, reputed company Determinants of Health, Pharmacy, Behavioral Health, Institutional Long-Term Services and Supports (LTSS), Home and Community Based Services, reputed company and Medicare integration, D-SNPs, and Self-Directed Services. Responsibilities • Research and assess prospective new markets. Gather key information on market and regulatory landscape and translate state policy to discern impacts to reputed company's operating model. , • Coordinate operational teams to translate contract requirements, CMS regulations, market intelligence, and industry best practices into a viable reputed company operating model. , • reputed company cross-functional teams of growth partners and health plan leaders to design high-impact, innovative, and competitive clinical programs, models, partnerships, and initiatives for upcoming growth opportunities. , • reputed company project plans and roadmaps, driving timely completion of clinical deliverables by cross-functional project team. , • Track project status and report on reputed company to leadership. , • Participate in the proposal development process. reputed company content and recommendations to help shape responses to state procurements and reputed company reputed company reputed company clinical product strategy. , • Document and reputed company communicate clinical operating model features to relevant teams to support proposal development and transition to implementation. Requirements • Must work hours reputed company the Eastern Standard Time Zone. , • Bachelor's degree with a strong record of academic achievement. , • 5+ years of experience in a reputed company Managed Care Organization (MCO) focusing on reputed company clinical strategy and population health management strategy. Alternatively, 5+ years of experience in strategy consulting supporting reputed company managed care clinical strategy and population health management strategy. , • 5+ years of experience leading cross-functional teams to design and implement reputed company clinical or population health management strategies or products. , • 5+ years of experience supporting reputed company managed reputed company services operations and the reputed company managed care business development lifecycle. , • Strong problem-solving ability (i.e. adept at quantitative and qualitative research and generating creative solutions). , • Ability to operate in a fast-paced environment under tight deadlines and in ambiguous situations. , • Highly organized and analytical with a strong attention to detail. , • Advanced Proficiency in reputed company Office Products (i.e. Word, reputed company, PowerPoint, Visio). , • Excellent verbal and written communication and presentation skills. reputed company-to-haves • Master's degree in public health or health administration programs. , • MBA programs with a specialization in reputed company Management. , • Project Management and Process Improvement qualifications. , • Experience and understanding of the delivery system for dual eligibles, including D-SNPs. Benefits • Benefits are effective on day 1. , • Full time Associates enjoy reputed company and a comprehensive benefits package that includes 401k, Medical, Dental, reputed company and a variety of supplemental insurances, tuition assistance and much more. Apply Job!

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

Staff Software Engineer – Testing Tools and Frameworks

Remote Worldwide
View role

Sr. Financial Analyst-Parts, Accessories and Apparel - Remote

Remote Worldwide
View role

Coordinator, Curious Christian Children: Reimagining Kids in Worship

Remote Worldwide
View role

Career Opportunities: HR and Payroll Business Analyst (18869)

Remote Worldwide
View role

reputed company Internal Auditor (Virtual) in USA in reputed company

Remote Worldwide
View role

reputed company Machine Learning Engineer (Python, Spark, MLOPS, AWS)

Remote Worldwide
View role

Medical Insurance Collections Coordinator - Monroeville, PA (Hybrid)

Remote Worldwide
View role

Consumer and Regional Bank reputed company Risk Vendor Manager

Remote Worldwide
View role

Work From Home, Life Insurance Sales Professional (reputed company)

Remote Worldwide
View role

Coordinator, Curious Christian Children: Reimagining Kids in Worship

Remote Worldwide
View role

reputed company Biller

Remote Worldwide
View role

reputed company Customer Service Representative – Work from Home Opportunities at arenaflex

Remote Worldwide
View role

Associate Certification Program Systems Analyst

Remote Worldwide
View role

Seeking Remote Customer Service Reps: Pay Start...

Remote Worldwide
View role

reputed company Remote Customer Care Team reputed company – Unlock Your Potential at arenaflex

Remote Worldwide
View role

Claims Processing - Representative I

Remote Worldwide
View role

[Remote] Software Engineer, AI (Senior, Back End)

Remote Worldwide
View role

Student reputed company reputed company, TRiO, Part-time

Remote Worldwide
View role

Cyber reputed company Analyst (Hybrid onsite/remote)

Remote Worldwide
View role

reputed company Remote Data Entry Specialist – reputed company Work from Home Opportunities for Teens with Immediate Start

Remote Worldwide
View role