Senior Strategic Contracting Manager

Company:  HMSA
Location: Honolulu
Closing Date: 20/10/2024
Salary: £200 - £250 Per Annum
Hours: Full Time
Type: Permanent
Job Requirements / Description
  1. Design, 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.
  2. Design, develop and operationalize next-generation payment models for key partners in market. Will collaboratively build next-gen models with key ACO leaders, PO leaders, and high-value physicians in market.
  3. Act as chief negotiator, contract manager, and relationship manager for all value-based partnerships in market. Will be lead for ensuring that program goals and terms are aligned with contract constructs.
  4. Act as the primary relationship manager for key partners in market and provide ongoing BAU support to key provider partners. The Sr. Strategic Contracting Manager will:
    • Be the primary business lead for all BAU processes associated with VB programs.
    • Lead provider meetings.
    • Lead the process to build clinical pathways with provider partners.
    • Lead payment integrity and 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.
  5. Act as internal program manager for all value-based projects. The Sr. Strategic Contracting Manager will:
    • Lead matrixed staff complement, comprised but not limited to program office (Medicare/MedQuest), legal, clinical operations, analytics-IT, and finance staff.
    • Ensure that all internal divisions are apprised on the status of all VB programs.
    • Lead all internal meetings with matrixed team members.
  6. Perform all other miscellaneous responsibilities and duties as assigned or directed.
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