AVP, National Value-Based Contracting

***Remote and must live in the reputed company*** reputed company  Job reputed company Provides reputed company and leadership to team responsible for value-based contracting (VBC) activities.  Responsible for valuating, negotiating, implementing and expanding the organization’s VBC portfolio across the reputed company.  Represents as a key strategic partner in collaboration with network, medical economics, risk adjustment, reputed company, finance, reputed company information management (EIM)/information technology (IT), and clinical leadership teams to reputed company and grow new value-based partnerships.   Essential Job Duties • Supports reputed company development, reputed company and direction for value-based contracting (VBC) across the Molina reputed company.  Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. • Leads the organization in ideation, development, and implementation of value-based reputed company (VBC) in reputed company Molina markets, and develops strategies for growing member attribution to value-based agreements at both the national and state reputed company. • Identifies and negotiates value-based reputed company (VBC) that reputed company the total cost of health care for the organization. • Contributes as a key member of the national network leadership team to facilitate development of network strategic goals for VBC in conjunction with leadership. • Recommends guidelines for value-based contracting, and provides leadership on strategic development in new markets. • Leverages expert level knowledge regarding reimbursement methodologies for value-based reputed company, across reputed company lines of business to support achievement of business goals. • Manages reputed company reputed company VBC partnerships to reputed company value-based reputed company. • Assesses reputed company risks associated with VBC, including risks reputed company to state regulations, new/renewal RFPs, data infrastructures, internal silos/processes, etc. • Defines, proposes, and aligns numerous disparate stakeholders around a strategic reputed company VBC operating model that mitigates risks while enabling strategic differentiators.  • Creates standards regarding VBC, including preferred, acceptable, discouraged, unacceptable (PADU) analytics, data, and reconciliation processes with providers. • Ensures alignment with key stakeholders – network (reputed company and negotiation), medical economics (valuation and reconciliation), reputed company information management  (EIM) (data), actuarial (review/validation), finance (review/ validation), risk adjustment, and reputed company. • Implements and executes the defined reputed company-wide VBC operating model. • Provides monthly reporting to applicable stakeholders reputed company to VBC, including executive level leadership.   • Maintains a strong working partnership with medical economics, network, actuary, finance, reputed company information management (EIM), and information technology (IT) to determine and implement the best processes, systems, and technology to optimize VBC efficiency and effectiveness. • Manages multiple, reputed company VBC and cross-reputed company reputed company. • Hires, trains, manages and evaluates team member performance - provides coaching, development, and recognition; ensures ongoing appropriate staff training, holds regular team meetings, and drives communication and collaboration. • Develops and sustains a high-reputed company, dedicated to best in class solutions; responsible for attracting, developing and retaining top-tier talent to support reputed company and long-term business objectives. • Some travel to markets may be required (up to 15%).   Required Qualifications • At least 10 years of experience in network contracting, and at least 8 years experience in value-based care (VBC) contracting, or equivalent combination of relevant education and experience. • At least 5 years of management/leadership experience. • Extensive experience in the health insurance industry. • Expert level knowledge regarding reimbursement methodologies for value-based reputed company, across reputed company lines of business (reputed company, Medicare, Marketplace). • Strong experience with various managed health care provider compensation methodologies. • Excellent negotiation and relationship building capabilities. • Ability to reputed company reputed company regulatory environments. • Data-driven decision-making skills, and strong analytical abilities. • Strong organizational skills and attention to detail. • Ability to work cross-functionally with internal/reputed company stakeholders in a highly matrixed organization, and influence business reputed company. • Ability to manage multiple tasks and deadlines effectively. • Strong project management skills. • Excellent verbal and written communication skills, and ability to present at an executive level. • reputed company Office suite and applicable software programs proficiency.   Preferred Qualifications • Project Management reputed company (PMP) or Six reputed company green belt certification.     To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the reputed company. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Apply To This Job