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CareSource · 2 weeks ago

REMOTE - Director, Enterprise Value Based Reimbursement Strategy(Required Experience In VBR, Preferred Experience In Managed Care) - R11025

United States

Full-time

Remote

Mid, Senior Level

$113K/yr - $198K/yr

5+ years exp

CareSource is a healthcare organization seeking a Director of Enterprise Value Based Reimbursement Strategy. The Director will lead the development and execution of VBR strategies across markets, ensuring compliance and building collaborative relationships with stakeholders.

Health CareMedicalNon Profit

Comp. & Benefits

H1B Sponsor Likely

Responsibilities

Support the development and execution of both enterprise-level and market-specific value-based reimbursement (VBR) strategies to enhance organizational alignment and effectiveness across various markets and lines of business

Collaborative with market leadership on VBR strategies that address specific requirements for Request for Proposals (RFPs), and continue collaboration post-RFP to build and implement effective VBR program plans

Partner closely with market leadership to ensure compliance with state-level VBR requirements and commitments by leveraging appropriate strategies and programs to meet regulatory expectations

Build strong, influential, and collaborative relationships with key internal stakeholders and external partners to shape and drive VBR program strategy

Lead discussions with healthcare providers and organizations that are instrumental in fostering enterprise-wide VBR partnerships

Continuously evaluate and adjust VBR programs to ensure they remain in alignment with enterprise objectives, enhancing their impact and relevance

Oversee the development and operationalization of policies, standards, benchmarks, performance metrics, and quality control mechanisms to ensure high standards in VBR strategy execution

Maintain up-to-date knowledge of regulatory changes and market-specific performance standards to guarantee compliance and ensure timely execution

Lead negotiations and contract discussions with healthcare providers identified as providing innovative care solutions that support a comprehensive national VBR approach

Provide leadership, mentorship, and professional development opportunities to staff, fostering a supportive environment that encourages growth and excellence in performance

Perform any other job related duties as requested

Qualification

Value Based ReimbursementProvider ContractingData AnalysisHealthcare QualityMicrosoft OfficeAnalytic SkillsRelationship ManagementTeam FacilitationCommunication SkillsProblem Solving

Required

Bachelor's degree in management, healthcare management or related field is required

Equivalent years of relevant work experience may be accepted in lieu of required education

Five (5) years of experience in value-based reimbursement design, methodologies and/or VBR contracting, data analysis, reporting, or data support is required

Three (3) years of Provider contracting or Provider relations is required

Five (5) years of leadership/management experience is required

Proficient in Microsoft Office to include Word, PowerPoint, Access - advanced proficiency in Excel

Excellent team facilitation skills

High level of analytic skills for solving problems

Excellent oral, written, and interpersonal communication skills

Strong knowledge of Value Based Contracting methodologies and operations and/or experience in health care quality

Knowledge of provider contracting and familiarity with provider network operations

Critical listening and thinking skills

Problem solving skills

Attention to detail and work plan creation, implementation, and evaluation

Business acumen and strategic thinking skills, yet able to execute tactically

Strong relationship management skills and ability to maintain and build strong working relationships in a matrix environment

Preferred

Master's degree is preferred

Benefits

You may qualify for a bonus tied to company and individual performance.

A substantial and comprehensive total rewards package.

Company

CareSource

Glassdoor3.8

CareSource provides managed care services to Medicaid beneficiaries.

Founded in 1989

Dayton, Ohio, USA

1001-5000 employees

https://www.caresource.com/

H1B Sponsorship

CareSource has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2025 (30)

2024 (39)

2023 (35)

2022 (21)

2021 (37)

2020 (28)