Not specified; not specified; comprehensive benefi...
Ohio medicaid cicip regulatory expertise
Cms vbc model experience
Managed care contract negotiation
The role leads the strategy, development, and negotiation of complex value-based care arrangements across Medicare Advantage, Medicaid Managed Care, and Commercial payers
Job Summary
The role leads the strategy, development, and negotiation of complex value-based care arrangements across Medicare Advantage, Medicaid Managed Care, and Commercial payers.
This position serves as the primary resource for value-based payment structures, compliance expectations, and emerging payer strategies within the organization.
The university offers comprehensive employee benefits including retirement plans, affordable health insurance starting day one, and paid parental leave.
Matching Summary
The role leads the strategy, development, and negotiation of complex value-based care arrangements across Medicare Advantage, Medicaid Managed Care, and Commercial payers.
Salary
Not specified; Not specified; Comprehensive benefits including retirement plans and health insurance
Skills & Requirements
Must-have
Ohio Medicaid CICIP regulatory expertise
CMS VBC model experience
Managed care contract negotiation
Financial modeling for value-based care
Payer-provider contract interpretation
Nice-to-have
Strong cross-functional collaboration skills
Ability to influence stakeholders at all levels
Experience operationalizing VBC financial models
Knowledge of quality assurance standards
Key Requirements
Bachelor's degree in Business Administration or related field
4+ years of relevant experience required
3+ years in managed care contracting or VBC program management
Master's degree preferred
In-depth knowledge of Ohio Medicaid CICIP structure