Senior Strategic Contracting Manager

4 weeks ago


Honolulu HI, United States HMSA Full time

Employment TypeFull-timeExempt or Non-ExemptExemptJob Summary**Hybrid Work Environment - Must reside in Oahu**Pay Range: $81,931 - $135,801Note: Individuals typically begin between the minimum to middle of the pay range Administers HMSA's provider contracting for value-based programs.Design, develop and operationalize new clinical integration programs.Design, develop and operationalize next-generation payment models.Relationship manager for key partner providers in market.Minimum QualificationsBachelor's degree and three years of related work experience; or an equivalent combination of education and related work experience. One year of leadership experience or experience leading teams.Excellent written and verbal communication skills (with distinction in driving discussions with senior executives internally to HMSA and across partner organizations and community leaders.)Knowledge of health care payment and delivery models and systems; understanding of health plan role and industry.Strategic planning and contracting or health care administration/finance experience.Must have valid driver's license, access to an automobile with current license, registration, and no-fault insurance.Duties and ResponsibilitiesDesign, develop and operationalize new clinical integration programs for key partners in market. Will act as primary program lead for value-based deals and special provider projects.Design, develop and operationalize next-generation payment models for key partners in market. Will collaborative build next-gen models with key ACOs leaders / PO leaders and high-value physicians in market.Act as chief negotiator, contract manager and relationship manager for all value-based partnerships in market. Will be lead for ensuring that program goals / terms are aligned with contract constructs.Act as the primary relationship manager for key partners in market and provide on-going BAU support to key provider partners. Sr Strategic Contracting Manager willBe the primary business lead for all BAU processes associated with VB programs.Lead provider meetingsLead the process to build clinical pathways with provider partners.Lead payment integrity & attribution integrity processes for all VB programs.Lead design and operations for BAU/ad-hoc/executive reporting for all VB programs.Ensure that all of the above will be coordinated with targeted provider partners.Act as internal program manager for all value-based projects. Sr. Strategic Contrating Manager willLead matrixed staff compliment -- comprised but not limited to program office (medicare/medQuest), legal, clinical operations, analytics-IT, finance staff.Ensure that all internal divisions are apprised on status of all VB programs.Lead all internal meetings with matrixed team members.Perform all other miscellaneous responsibilities and duties as assigned or directed.#LI-Hybrid



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