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Lead Director, Network Management – Value-Based Care

Remote · South Africa Full-time

Job Description:

  • accountable for the strategic alignment, operational success and performance management of assigned provider relationships
  • ensure that assigned value based contract arrangements are functioning successfully
  • work to improve quality of care while reducing costs
  • includes supervisory responsibilities for VBS Provider Performance team members
  • provide dedicated leadership and oversight for Medicaid value-based care initiatives across the Florida and Louisiana markets
  • development, execution, and oversight of Medicaid focused value-based contracting and provider performance strategies

Requirements:

  • 10 years experience in a health plan, health system or provider organization
  • ACO / managed-care experience preferred
  • Experience directly managing people and/or Teams
  • Self-directed individual with independent problem-solving skills
  • Proven ability to interact with, influence and collaborate with internal and external stakeholders at all levels
  • Experience managing matrixed environment with ability to leverage internal business partners to complete tasks
  • Good interpersonal and communication skills
  • Knowledge of healthcare and insurance industry
  • Ability to form strong client relationships
  • Bachelor's degree preferred or a combination of professional work experience and education.

Benefits:

  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • other resources, based on eligibility

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