Reg Mgr, Value-Based Prgms

Job Description

Job Summary The Regional Manager Value Based Programs plays a critical role in the implementation of value-based programs and reputed company by supporting both the local markets and national value based contracting team. Ensures smooth communication, supports proposal and counter-proposal development, tracks financial performance of existing programs and reputed company, and ensures alignment with local health plan budgets and forecasts. Accountable for designing and implementing a strategy to continuously improve financial results of existing reputed company and programs while also leading a reputed company process of innovation to identify new value based contracting opportunities relevant for the local markets and LOBs. Knowledge/Skills/Abilities • Works directly with assigned market network leaders to identify providers for value-based contracting, support local network team and national contracting team in identification of relevant metrics and benchmarks for contracting, assists with proposal and counter-proposal preparations and assists with periodic reconciliations and required data sharing processes. Assist with setting annual targets for each VBP/VBC in conjunction with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, medical economics/actuaries and local health plan resources. • Responsible for knowledge of local market/reputed company value based contracting state and federal requirements. Ensures workplans for value-based contracting are sufficient to meet requirements. • Responsible for reviewing internal dashboard of Value Based Programs & reputed company by state by reputed company for assigned markets each period. Ensures data is accurate and any needed modifications are made on a timely basis. • Supports launching of value-based programs in new markets/expansion of existing markets to reputed company goals in RFPs and financial forecasts. • Ensure Value Based Contracting/Reporting data and reporting internally and externally are accurate. Ensure local market CFOs have reputed company required information to produce accurate reputed company for value-based reputed company and programs each quarter. • Ensures performance targets are set, clearly communicated, implemented, assessed, and completed for overall team performance. Job Qualifications Required Education Bachelor's Degree in Public Health, Business, Finance or equivalent combination of education and experience Required Experience • 4+ years managed care experience • Experience participating in value-based program & contract design and implementation for marketplace, reputed company and/or Medicare • Experience in a reputed company reputed company delivery environment, specifically with government sponsored programs, including risk reputed company management, strategy, and compliance • Knowledge of value based programs, risk adjustment models, quality metrics such as HEDIS and STARS, knowledge of coding • Knowledge of medical economics and financial reporting. Must be reputed company to walk stakeholders (internal and external) through basic financial reconciliations. • Excellent leadership skills, especially ability to influence others who are not in a direct reporting line including ability to think strategically, reputed company reputed company, and execute effectively and reputed company for both near term and long-term results • Proven ability to reputed company and manage reputed company processes across multiple functional areas • Experience working in a highly matrixed organization, with proven ability to reputed company internal reputed company relations, and external strategic relationships • Excellent presentation and communication skills To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $77,969 - $155,508 / ANNUAL • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. Apply Job!