Supervisor

Job Summary:The Director, Enterprise Value Based Reimbursement (VBR) Strategy serves as the enterprise-wide VBR strategy lead to all markets and lines of business. The Director will lead ongoing engagements with market leadership to build VBR strategy plans, collaborate with state partners around VBR strategy, and coordinate VBR program solutions for markets.Essential Functions:Support the development and execution of both enterprise-level and market-specific value-based reimbursement (VBR) strategies to enhance organizational alignment and effectiveness across various markets and lines of business.Collaborative with market leadership on VBR strategies that address specific requirements for Request for Proposals (RFPs), and continue collaboration post-RFP to build and implement effective VBR program plans.Partner closely with market leadership to ensure compliance with state-level VBR 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 VBR program strategy.Lead discussions with healthcare providers and organizations that are instrumental in fostering enterprise-wide VBR partnerships.Continuously evaluate and adjust VBR 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 VBR 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 VBR 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 requiredMaster's degree is preferredEquivalent years of relevant work experience may be accepted in lieu of required educationFive (5) years of experience in value-based reimbursement design, methodologies and/or VBR contracting, data analysis, reporting, or data support is requiredThree (3) years of Provider contracting or Provider relations is requiredFive (5) years of leadership/management experience is requiredCompetencies, Knowledge and Skills:Proficient in Microsoft Office to include Word, PowerPoint, Access - advanced proficiency in ExcelExcellent team facilitation skillsHigh level of analytic skills for solving problemsExcellent oral, written, and interpersonal communication skillsStrong knowledge of Value Based Contracting methodologies and operations and/or experience in health care qualityKnowledge of provider contracting and familiarity with provider network operationsCritical listening and thinking skillsProblem solving skillsAttention to detail and work plan creation, implementation, and evaluationBusiness acumen and strategic thinking skills, yet able to execute tacticallyStrong relationship management skills and ability to maintain and build strong working relationships in a matrix environmentLicensure and Certification:Working Conditions:General office environment; may be required to sit or stand for extended periods of timeUp to 15% (Occasional) travel to attend meetings, trainings, and conferences may be requiredCompensation Range:$110,800.00 - $193,800.00 CareSource takes into consideration a combination of a cand

Created: 2025-12-04