UC Health
Job Description
The Value Based Contract Manager is responsible for contract management including negotiation, analysis interpretation, implementation, maintenance of the contract performance, and payer relations. The position coordinates, evaluates, and oversees implementation of value based contracting and related responsibilities, population health/clinical integration, strategies, government contracts, and partnering opportunities with regional employers. The position is responsible for coordination and communication between all key stakeholders and for developing new and existing relationships with third‑party payers to ensure competitive agreements and best possible reimbursement methodologies. This position will build and maintain a strong functional Managed Care team through effective training, coaching, team building, and succession planning.
Location Cincinnati, OH, United States
Qualifications
Bachelor's Degree
3‑5 years of equivalent experience
Responsibilities
Team Management:
Build and maintain a strong functional Managed Care team through effective training, coaching, team building, and succession planning.
Strategy:
Develop and implement strategies to improve the quality and efficiency of healthcare services provided.
Negotiate:
Negotiate contracts and agreements with healthcare providers and payers to align incentives with value‑based care goals.
Communications & Collaborations:
Collaborate with payers to establish and monitor performance metrics and outcomes.
Evaluation:
Monitor and evaluate the effectiveness of value‑based care programs and interventions; facilitate communication and coordination among different healthcare providers and settings to promote continuity of care.
Implementation:
Identify and implement evidence‑based practices and interventions to improve patient outcomes and satisfaction. Continuously seek opportunities for innovation and improvement in the delivery of healthcare services.
Other Duties:
All other duties as assigned.
Equal Opportunity Employer UC Health is an EEO employer.
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Location Cincinnati, OH, United States
Qualifications
Bachelor's Degree
3‑5 years of equivalent experience
Responsibilities
Team Management:
Build and maintain a strong functional Managed Care team through effective training, coaching, team building, and succession planning.
Strategy:
Develop and implement strategies to improve the quality and efficiency of healthcare services provided.
Negotiate:
Negotiate contracts and agreements with healthcare providers and payers to align incentives with value‑based care goals.
Communications & Collaborations:
Collaborate with payers to establish and monitor performance metrics and outcomes.
Evaluation:
Monitor and evaluate the effectiveness of value‑based care programs and interventions; facilitate communication and coordination among different healthcare providers and settings to promote continuity of care.
Implementation:
Identify and implement evidence‑based practices and interventions to improve patient outcomes and satisfaction. Continuously seek opportunities for innovation and improvement in the delivery of healthcare services.
Other Duties:
All other duties as assigned.
Equal Opportunity Employer UC Health is an EEO employer.
#J-18808-Ljbffr