Senior Consultant - Value Based Contract Performance

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more u2013 in our careers and in our communities. Job Description Summary: The Senior Consultant, Value Based Contract Performance is charged with supporting teams in solving complex problems focused on improving performance on value-based contracts or alternative payment programs in the Medicare, Commercial and Medicaid spaces as OhioHealth transitions from a volume to value clinical delivery model. This includes the OhioHealth Clinically Integrated Network (CIN) Medicare Advantage and Commercial contracts, OhioHealth Venture Medicare Shared Savings Program Accountable Care Organization (ACO), CMS Bundled Payments for Care Improvement initiative, CMS Radiation Oncology Model, Medicaid contracts, and other initiatives as they arise. This position will support Advisors, Senior Advisors, and Directors charged with convening provider and administrative team members to drive successful change that supports the ability of value-based models to deliver on the value equation of quality, service, and cost efficiency. This position reports to the Advisor, Value Based Contract Performance and is accountable for supporting teams to achieve cost and quality targets within our value-based contracts and programs. Key responsibilities include: u2022 Supporting the team accountability of value-based contract performance in the Medicare, Commercial and Medicaid spaces by aligning and convening teams responsible for performance within components of the value-based contract u2022 Analyzing and synthesizing data (e.g., population health utilization, cost, benchmarking reports) to communicate contract performance and advise on next steps required to achieve metrics. Specifically, drawing inference from data sets to support the recommendation of strategies and tactics to better achieve contract objectives u2022 Supporting the development of quantitative and qualitative evaluations and scenario modeling for contract/program participation in order to generate recommendations to leaders within and beyond Population Health Services; these evaluations will include operational feasibility, financial implications (ROI), physician impact, and general pros and cons u2022 Describing value-based contract targets / goals and current performance. u2022 Supporting cross-functional teams in initiatives and programs to help to achieve contract targets u2022 Documenting standard work for successful initiatives and building processes to ensure program sustainability u2022 Supporting physician and administrative committees focused on monitoring/ improving contract performance u2022 Analysis of federal, state, and local policy that impacts value-based contracts u2022 Serving as key point of contact to payers around value-based contracts Responsibilities And Duties: 70%: Supporting multiple teams to describe and improve value-based contract / program performance u00b7 Coordinates and monitors program performance and continuous improvement initiatives u00b7 Participates in data collection, analyses, and interpretation of analyses for program planning purposes u00b7 Serves as subject matter expert and interpreter of value contracts and programs to support the description of what we need to accomplish and subsequent stakeholder decisions. u00b7 Promotes working relationships with other interdependent OhioHealth departments u00b7 Participates in strategic planning u00b7 Actively participates in team activities such as Gemba walks, team huddles, and team-building sessions to foster growth, development, and team effectiveness. 30%: Medicare, Medicaid, and commercial program knowledge u00b7 Analyze and communicate relevant policy updates in the value-based payer space, including Medicare, commercial and Medicaid u00b7 Advise how program and policy changes would impact OhioHealth CIN day-to-day operations and performance As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time Minimum Qualifications: Bachelor's Degree (Required), Master's Degree Additional Job Description: Education, Credentials, Licenses: Masteru2019s degree in healthcare related fields, Public Health, Business Administration, Healthcare Administration, or Engineering. Can be in process of obtaining a masteru2019s degree. Bacheloru2019s degree plus 2 years of relevant healthcare programmatic administrative experience, in lieu of Masteru2019s degree. Kind and Length of Experience: One-to-three+ years preferred in healthcare and/or experience in implementing continuous improvement methodologies required with increasingly scope of complexity; experience in a highly complex integrated health system or payer environment; recent graduate meeting education requirements above is acceptable. SPECIALIZED KNOWLEDGE Specialized Knowledge: Strong organizational skills, stakeholder engagement skills, strategic planning, process improvement / LEAN operations, business development project management, and healthcare policy. The following competencies are required for this position: Curiosity, Active Listening, and Problem Solving. DESIRED ATTRIBUTES Specialized Knowledge: Proven track record in supporting teams to solve complex problems, effective relationship building, and demonstrated ability to interface in a matrix relationship with team members in other business units. Networking, thorough communication and interpersonal skills, performance measures and outcomes driven; excellent rapport-building skills; collegiality; problem-solving and conflict resolution skills. These competencies are important for this position: Relationship Management, Leading & Managing Change, Risk Taking, Embracing Diversity, Approachability, Influencing, Audience Connection, and Driving Results. Kind and Length of Experience: Three-to-five + years in healthcare and/or experience in implementing continuous improvement methodologies; with experience in a highly complex integrated health system or payer environment. Work Shift: Day Scheduled Weekly Hours : 40 Department Health Care Transformation Join us ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Created: 2026-03-30