Director, Provider Network Value Based Contracting
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About The Position
The Director, Provider Network Value Based Contracting is accountable for the staff responsible for the strategy, development, execution and management of alternative contracting, including, but not limited to, total cost of care (TCOC) contracting negotiations, bundles, alternative payment arrangements and network development. Provider contracting is the foundation for development of alternative payment arrangements as well as the financial strategy that moves reimbursement from total fee for service to risk sharing with providers. This type of contracting is key in developing products and financial strategies around provider relationships and supports the organization's market strategies for both new and existing markets, as well as financial objectives. The contracting model for alternative arrangements is complex and could contain both cost/utilization factors as well as quality measurement performance. The incumbent is required to identify and cultivate key provider relationships for consideration of differential payment terms. The Director, Provider Contracting requires an ability to think strategically and have a thorough understanding of the financial modeling and impacts in the execution of alternative arrangements.
