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 program knowledge
Cicip regulatory requirements mastery
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, ensuring organizational readiness and compliance with Ohio Medicaid's Comprehensive Integrated Care Incentive Program (CICIP).
  • 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/dental/vision coverage, and paid leave

Skills & Requirements

Must-have

  • Value-based care contracting expertise
  • CMS and Ohio Medicaid program knowledge
  • CICIP regulatory requirements mastery
  • Payer-provider contract interpretation skills
  • Financial modeling for risk-based payments

Nice-to-have

  • Strong cross-functional collaboration abilities
  • Experience with population health strategies
  • Ability to influence stakeholders at all levels
  • Proficiency in creating performance dashboards

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

Work Rights

Not specified

Tailored Resume

Cover Letter