APM / Medicaid Strategy Lead jobs in United States
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Elegant Enterprise-Wide Solutions, Inc. · 17 hours ago

APM / Medicaid Strategy Lead

Elegant Enterprise-Wide Solutions, Inc. is seeking an APM / Medicaid Strategy Lead to support the design and implementation of Alternative Payment Models (APMs). The role involves conducting diagnostics on population health and cost-of-care, assessing provider readiness for APM adoption, and engaging with payers for alignment and performance measurement.

Business DevelopmentCloud ComputingCloud ManagementCloud SecurityInformation TechnologySoftware
Hiring Manager
Vik Arora
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Responsibilities

Support design and implementation of Alternative Payment Models (APMs)
Conduct population health and cost-of-care diagnostics
Assess provider readiness for APM adoption
Support payer (MCO) alignment and engagement
Define performance measures, reporting, and shared savings structures

Qualification

Medicaid payment reformValue-based care modelsPopulation health analyticsProvider financial performance analysisPayer/MCO engagement

Required

Medicaid payment reform
Value-based care models (shared savings, risk, capitation)
Population health analytics
Provider financial performance analysis
Payer/MCO engagement
10+ years in Medicaid payment reform or value-based care
Direct experience designing or implementing APMs
Experience working with State Medicaid agencies and MCOs
Familiarity with CMS payment model guidance

Company

Elegant Enterprise-Wide Solutions, Inc.

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Elegant Enterprise-Wide Solutions, Inc is a disruptively innovative Government-focused IT professional service provider and high end specialized consultancy with decades of practical experience assessing, planning, educating, implementing, integrating, managing and improving Information Technology enterprise solutions within large, complex, global, environments including State, local , Federal Civilian, Defense, and Intelligence communities.

Funding

Current Stage
Growth Stage
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