Director, Enterprise Value Reimbursement Strategy; VBR, E

Position: Director, Enterprise Value Based Reimbursement Strategy(Required Experience In VBR, Preferred E[...]
Location: Myrtle Point

Job Summary

The Director, Enterprise Value Based Reimbursement (V ) Strategy serves as the enterprise-wide V  strategy lead to all markets and lines of business. The Director will lead ongoing engagements with market leadership to build V  strategy plans, collaborate with state partners around V  strategy, and coordinate V  program solutions for markets.

Essential Functions

• Support the development and execution of both enterprise-level and market-specific value-based reimbursement (V ) strategies to enhance organizational alignment and effectiveness across various markets and lines of business.
• Collaborative with market leadership on V  strategies that address specific requirements for Request for Proposals (RFPs), and continue collaboration post-RFP to build and implement effective V  program plans.
• Partner closely with market leadership to ensure compliance with state-level V  requirements and commitments by leveraging appropriate strategies and programs to meet regulatory expectations.
• Build strong, influential, and collaborative relationships with key internal stakeholders and external partners to shape and drive V  program strategy.
• Lead discussions with healthcare providers and organizations that are instrumental in fostering enterprise-wide V  partnerships.
• Continuously evaluate and adjust V  programs to ensure they remain in alignment with enterprise objectives, enhancing their impact and relevance.
• Oversee the development and operationalization of policies, standards, benchmarks, performance metrics, and quality control mechanisms to ensure high standards in V  strategy execution.
• Maintain up-to-date knowledge of regulatory changes and market-specific performance standards to guarantee compliance and ensure timely execution.
• Lead negotiations and contract discussions with healthcare providers identified as providing innovative care solutions that support a comprehensive national V  approach.
• Provide leadership, mentorship, and professional development opportunities to staff, fostering a supportive environment that encourages growth and excellence in performance.
• Perform any other job related duties as requested.

Education and Experience

• Bachelor's degree in management, healthcare management or related field is required
• Master's degree is preferred
• Equivalent years of relevant work experience may be accepted in lieu of required education
• Five (5) years of experience in value-based reimbursement design, methodologies and/or V  contracting, data analysis, reporting, or data support is required
• Three (3) years of Provider contracting or Provider relations is required
  
  Five (5) years of leadership/management experience is required

Competencies, Knowledge and Skills

• Proficient in Microsoft Office to include Word, PowerPoint, Access - advanced proficiency in Excel
• Excellent team facilitation skills
• High level of analytic skills for solving problems
• Excellent oral, written, and interpersonal communication skills
• Strong knowledge of Value Based Contracting methodologies and operations and/or experience in health care quality
• Knowledge of provider contracting and familiarity with provider network operations
• Critical listening and thinking skills
• Problem solving skills
• Attention to detail and work plan creation, implementation, and evaluation
• Business acumen and strategic thinking skills, yet able to execute tactically
• Strong relationship management skills and ability to maintain and build strong working relationships in a matrix environment

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time
• Up to 15% (Occasional) travel to attend meetings, trainings, and conferences may be required

Compensation Range

$ - $

Compensation Type (hourly/salary)

Salary

Organization Level Competencies

• Fostering a Collaborative Workplace Culture
• Cultivate Partnerships
• Develop Self and Others
• Drive Execution
• Influence Others
• Pursue Personal Excellence
• Understand the Business

Care Source takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Care Source is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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