About the role
Leads operational management and execution of value-based contracts across government and commercial payer contracts. Evaluates and oversees contract development, coordination, execution and implementation of across government and commercial payer on value-based Care and Alternative Payment Programs, with a focus on their impact on the Medical Group and Partner Hospitals in New York and Vermont. Works with the payer policy analyst to develop policy impact statements.
Reports To: Vice President, Payer Strategy and Contracting
Key Responsibilities
Program Development and Contract Administration
- MSSP, ACO REACH, Medicaid VBC programs, employer-based VBC initiatives, and commercial value-based contracts.
- Evaluates and coordinates the contracting of mandatory Medicare programs.
- Coordinate implementation of new value-based agreements.
- Maintain program governance and regulatory compliance.
Performance Management
- Support financial and quality performance.
Stakeholder Coordination
- Collaborate with population health, finance, analytics, and medical group leadership.
- Support clinical engagement around contract development and implementation.
Regulatory Monitoring
- Monitor federal and state-level policy changes.
- Assess operational and financial impacts of changing payment models.
- Coordinate required reporting activities.
Qualifications
- Bachelor's degree required; Master's preferred.
- 5+ years' experience in value-based care operations.
- Knowledge of CMS alternative payment models.
- Strong program management and performance improvement experience.
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