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Director of Managed Care Contracting & Value - Based Care Program
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- Reports to the AVP of Network Management and is responsible for the overall direction and management of the contracting value-based care (VBC) and network development strategies.
- Responsibilities include negotiating provider reimbursement rates and contract terms, developing value-based care arrangements, planning, directing, organizing and evaluating the implementation of strategic objectives to ensure access to a quality cost efficient comprehensive provider network.
- Oversight and monitoring of network development and provider contracting.
- Acts as corporate authority on all reimbursement and payment methodologies, including incentive and Value-Based Care programs.
- Work requires a professional level of knowledge in business administration and/or management as normally acquired through 7-10 years managed care/health care experience with at least five of those years in a supervisory capacity.
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