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Manager,Value Based Payment Initiatives

Company: Centene Coproration
Location: Eugene
Posted on: October 10, 2019

Job Description:

Description: Position Purpose: The Manager , Value Based Payment initiatives will drive the execution of the organizations Value Based Payment contracting strategies (VBP). This position will be responsible for working with the VBP AVP, VBP Analysts and other cross functional teams in the management of multiple VBP relationships including Provider Groups (IPAs) and the other contracting entities like ACOs and potentially DSRIP PPSs. Work collaboratively with Contract Management to design and refine, the VBP contract negotiated with each assigned VBP Provider Group partnership. Accurately and effectively communicate the status of each VBP relationship to the VBP team and other internal cross-functional leads. Ensure that performance data is shared with VBP partners on a regular basis with particular emphasis on highlighting those areas in need of performance improvement. Appropriately prioritize and escalate VBP issues to the AVP of VBP Initiatives. Recommend reporting enhancements based on VBP partner feedback and needs identified through regular use of the existing reporting tools. -Work with each assigned VBP partner to develop strategies and action plans designed to eliminate any aberrant utilization and or quality of care patterns that will prevent the VBP partner from having a successful outcome through its Fidelis VBP relationship. Drive internal and external VBP meetings (clinical, IT, legal, etc ) in order to resolve any issues related to the operation of those VBP relationships that have been assigned. Drive building and maintaining relationships with key individuals at assigned PPS organization and their related VBP contracting entities. Drive the tactical execution of the business plan objectives to drive success of each VBP relationship. Act as a subject matter expert on all VBP related matters. Lead in implementation for VBP assigned relationships including third party vendors. Provide daily leadership in the management of VBP activities, including data analysis, problem resolution and other activities to assist in the facilitation of a successful relationship with assigned Provider Group Partners.

Keywords: Centene Coproration, Eugene , Manager,Value Based Payment Initiatives, Executive , Eugene, Oregon

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