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Job Summary

This position supports the strategy, design, growth, and optimization of Medicare Advantage provider Value-Based Care (VBC) programs and alternative payment models across primary care, facility, and specialty programs. Responsibilities include integrating analytical findings, market insights, and business needs to inform VBC program strategy and design; evaluating program performance and identifying strategic enhancements; developing VBC contracting strategies; developing VBC contract templates and program documentation; and creating executive-ready recommendations and presentations. Candidate must possess relevant Medicare Advantage and/or provider VBC experience; exceptional communication and presentation skills; strong strategic and analytical capabilities; and demonstrated ability to independently lead complex workstreams and drive recommendations forward.

Required Job Qualifications:

• Bachelor’s degree and 5 years of experience OR 9 years of experience in business analysis, process improvement, project management, business operations
• or relevant health care industry experience
• 3 years of experience leading with large and complex multi-million-dollar projects.
• Experience communicating with senior management from multiple divisions. 
• Experience developing and delivering presentations. 
• Problem resolution experience and skills. 
• Knowledge of strategic planning techniques and industry trends
• Experience interpreting business and financial information and negotiations skills.
• Verbal and written communications skills including establishing working relationships across departments,
• Preparing presentations to senior management and establishing team environment. 
• Organizational skills and detail oriented
• Experience managing multiple complex projects successfully. 
• PC proficiency to include MS Office products.

 

Preferred Job Qualifications:

• Master’s degree, such as an MBA, MPH, MHA, or related advanced degree.
• Direct experience with Medicare Advantage VBC strategy and alternative payment model design
• Experience with provider network strategy, provider contracting/value-based contracting,
• Contract development, provider performance, or Medicare Advantage Stars.
• Experience partnering with analytical teams and translating analytical findings into strategic insights and decisions.
• Proven strategic thinking and execution.
• Ability to drive decisions, create optionality and determine impacts of options.

 

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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

 

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range

$69,800.00 - $125,900.00

Exact compensation may vary based on skills, experience, and location.