Lead Director, Provider Performance Value-Based Care
Job Description:
- establish and maintain productive value-based relationships with key network providers
- develop and manage the Keystone Value-based Network
- negotiate high value/risk contracts with complex arrangement structures
- manage complete value-based contracting cycle
- work with internal teams to develop a value-based strategic plan
- oversee contract performance with targeted provider groups
- evaluate and implement network strategic plans
Requirements:
- 10 years of related experience
- comprehensive level of negotiating skills
- successful track record negotiating value-based contracts with IPAs
- experience reviewing medical claims data
- excellent analytical and problem-solving skills
- strong communication, negotiation, and presentation skills
- ability to work in a matrixed organization
- familiarity with legal terms in the context of provider contracting (preferred)
- experience with CMS Stars and HEDIS technical specifications (preferred)
- bachelor's degree preferred or a combination of professional work experience and education
Benefits:
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility