Senior Value Based Care Contract Specialist

The Ohio State University

Columbus, OH, US
Not specified; not specified; comprehensive benefi...
Ohio medicaid cicip regulatory expertise
Cms value-based care model experience
Managed care contract negotiation skills
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.
  • The specialist serves as the primary resource for value-based payment structures, compliance expectations, and emerging payer strategies within the organization.
  • Comprehensive employee benefits include generous retirement plan options, affordable health insurance starting day one, and support for Public Service Loan Forgiveness.

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 value-based care model experience
  • Managed care contract negotiation skills
  • Financial modeling for risk-based payments
  • Payer-provider contract interpretation

Nice-to-have

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

Key Requirements

  • Bachelor's degree in Business Administration or related field
  • 4 years of relevant managed care contracting experience
  • In-depth knowledge of Ohio Medicaid CICIP structure and metrics
  • Master's degree preferred

Work Rights

Not specified

Tailored Resume

Cover Letter