Senior Value Based Care Contract Specialist

The Ohio State University

Columbus, OH, US
Not specified; not specified; benefits include ret...
Value-based care contracting expertise
Cms and ohio medicaid regulatory knowledge
Cicip program methodology and reporting
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 requires deep expertise in the Ohio Medicaid Comprehensive Integrated Care Incentive Program (CICIP), including regulatory requirements, methodology, and compliance obligations.
  • 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; Benefits include retirement plans, health insurance, and paid leave

Skills & Requirements

Must-have

  • Value-based care contracting expertise
  • CMS and Ohio Medicaid regulatory knowledge
  • CICIP program methodology and reporting
  • Managed care contract interpretation skills
  • Financial modeling for risk assessment

Nice-to-have

  • Strong cross-functional collaboration abilities
  • Experience with population health strategies
  • Ability to influence stakeholders at all levels
  • Proficiency in MS Office suite

Key Requirements

  • Bachelor's degree in Business Administration or related field
  • 4-8 years of relevant experience preferred
  • 3+ years in managed care contracting or VBC program management
  • Master's degree preferred

Work Rights

Not specified

Tailored Resume

Cover Letter