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Home > Columbia/Jeff City jobs > Columbia/Jeff City management/professional

Posted: Saturday, January 27, 2018 11:19 PM

The company operates within the Health Care industry.Develop, implement and maintain provider financial incentive models. Provide analytical support for contract negotiations and reimbursement development, focusing on lowering unit cost, improving the quality of care, and increasing member and provider network satisfaction. Lead complex enterprise wide initiatives to improve network performance.Serve as enterprise subject matter expert on provider incentives relating to payment innovation, including evaluating current models and determining effectivenessDesign, build and maintain complicated statistical risk and saving models Develop presentations and materials detailing methodology, analysis and results to communicate payment programs to varied audiencesDirect the health plan leadership team in identifying cost savings, contracting opportunities and performance improvement initiativesDevelop and oversee intricate reimbursement strategy plans for all health plansDevelop and implement reimbursement policy changes to pursue cost savingsCollaborate with appropriate departments on the development and support of analytic tools to measure and monitor provider reimbursement and incentive programsEnsure all processes of Medicaid, Medicare and Commercial Reimbursements meet state and federal guidelinesDesign and implement new reimbursement methodologies for all productsEnsure the development and implementation of plans, provide business architecture for network imbursement and performance, including training, documentation, standards, roles, and responsibilities and new market operationsManage the development of contracting standards and guidelines for various payment rules in provider contractsReview results post-implementation to ensure projected cost savings are realized and recommend modifications as applicableUp to 30% travelBachelor's degree in Finance, Hospital Administration, Business or related field. Advanced degree preferred.10+ years of healthcare provider contracting management, network development/management, and reimbursement experience in a healthcare or managed care environment.Familiarity and knowledge of contracting language standards and guidelines and principles of negotiation.Strong financial and analytical skills.Previous management experience including responsibilities for hiring, training, assigning work, motivating a team, and managing performance of staff.Deep understanding/knowledge of value-based purchasing (VBP)/payment innovation models with experience leading design, development and implementation of VBP programs across markets, productsExcellent presentation/communication skills; to C-suite and all levels of company. Will be primary Centene lead for VBP strategiesAbility to develop Centene VBP strategy across markets/products, and lead implementation of future state VBP operating model

Source: http://www.jobs2careers.com/click.php?id=4801918872.96


• Location: Columbia/Jeff City

• Post ID: 38749852 columbiamo
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