Director of Contracting - Value Based Care - Remote

Overview

The Director of Contracting - Value-Based Care is responsible for the overall direction and management of the contracting cardiovascular focused value-based care contract development and execution strategies for CVAUSA and Novocardia.

In Short

• Responsible for oversight of cardiovascular value-based contract development, negotiation and performance activities.
• Develop contract negotiation strategies to meet Strategic Goals for value-based and managed care contracting.
• Expand on the current Novocardia risk and value-based Contracting models with payors.
• Lead, develop and implement alternative reimbursement methodologies.
• Collaborate with key stakeholders to manage financial and operational provisions of the contracts.
• Knowledge of commercial products and government programs including Medicare.
• Ensure compliance with state and federal regulatory requirements.

Requirements

• Bachelor’s degree in related field; Master’s preferred.
• 5-7+ years managed care/health care experience with supervisory capacity.
• Experience in managed care environment or insurance company.
• Strong analytical and financial skills, contracting knowledge.
• Knowledge of complex managed care concepts and reimbursement models.
• Demonstrated knowledge of value-based care reimbursement models.
• Knowledge of multi-state and federal regulatory requirements.

Benefits

• Remote work opportunity.
• Engagement with top cardiovascular specialists.
• Opportunity to impact patient care quality.