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National Contracting Director (Value Based Care) - Remote

Posted 6 days ago
All others
Full Time
USA

Overview

The National Program Director – Value-Based Care is a strategic leadership role responsible for the development, implementation, and evolution of value-based care (VBC) programs across all lines of business—Medicaid, Medicare, and Marketplace. This role is critical in driving clinical and financial performance by aligning provider incentives with quality outcomes, health equity, and cost-effective care.

In Short

  • Lead the design of value-based care programs for diverse populations.
  • Develop inclusive contracting frameworks for various provider types.
  • Integrate social determinants of health into VBC models.
  • Analyze industry trends and performance data for program design.
  • Serve as primary architect for VBC strategy in RFP submissions.
  • Collaborate with stakeholders to align programs with clinical models.
  • Establish metrics to track program performance and iterate designs.
  • Act as a subject matter expert in external forums and conferences.

Requirements

  • Deep understanding of value-based care trends and payment models.
  • Knowledge of clinical priorities across population segments.
  • Strong familiarity with health equity and community-based organizations.
  • Excellent stakeholder engagement and collaboration skills.
  • Data-driven mindset with ability to interpret complex data.
  • Experience drafting RFP content for value-based care.
  • Exceptional written and verbal communication skills.
  • Ability to navigate ambiguity and drive initiatives independently.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer.

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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