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Senior Strategic Contracting Manager

HMSA
Honolulu, Hawaii, US
Full-time
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • Perform all other miscellaneous responsibilities and duties as assigned or directed.

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6 days ago
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