Not specified; not specified; comprehensive benefi...
Deep expertise in value-based care contracting
Cms and ohio medicaid regulatory oversight
Ohio medicaid cicip program knowledge
The Senior Specialist leads the strategy, development, and negotiation of complex value-based care arrangements across Medicare Advantage, Medicaid Managed Care, and Commercial payers
Job Summary
The Senior Specialist leads the strategy, development, and negotiation of complex value-based care arrangements across Medicare Advantage, Medicaid Managed Care, and Commercial payers.
This role serves as the primary resource for value-based payment structures, compliance expectations, and emerging payer strategies within the organization.
The position offers comprehensive employee benefits including generous retirement plan options, affordable health insurance starting day one, and paid parental leave.
Matching Summary
The Senior Specialist 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 include retirement plans, health/dental/vision coverage, and paid leave
Skills & Requirements
Must-have
Deep expertise in value-based care contracting
CMS and Ohio Medicaid regulatory oversight
Ohio Medicaid CICIP program knowledge
Advanced analytical capability and financial modeling
Managed care contract interpretation skills
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, Healthcare Admin, Finance, or related field
4-8 years of relevant experience in managed care contracting or value-based care
Master's degree preferred
In-depth knowledge of Ohio Medicaid's CICIP structure and reporting