Senior Strategic Contracting Manager - Honolulu, United States - HMSA

Description

1. Design, develop and operationalize new clinical integration programs for key partners in market. Will act as primary program lead for value-based deals and special provider projects.
2. Design, develop and operationalize next-generation payment models for key partners in market. Will collaborative build next-gen models with key ACOs leaders / PO leaders and high-value physicians in market.
3. Act as chief negotiator, contract manager and relationship manager for all value-based partnerships in market. Will be lead for ensuring that program goals / terms are aligned with contract constructs.
4. Act as the primary relationship manager for key partners in market and provide on-going BAU support to key provider partners. Sr Strategic Contracting Manager will
   • Be the primary business lead for all BAU processes associated with VB programs.
   • Lead provider meetings
   • Lead the process to build clinical pathways with provider partners.
   • Lead payment integrity & attribution integrity processes for all VB programs.
   • Lead design and operations for BAU/ad-hoc/executive reporting for all VB programs.
   • Ensure that all of the above will be coordinated with targeted provider partners.
5. Act as internal program manager for all value-based projects. Sr. Strategic Contrating Manager will
   • Lead matrixed staff compliment -- comprised but not limited to program office (medicare/medQuest), legal, clinical operations, analytics-IT, finance staff.
   • Ensure that all internal divisions are apprised on status of all VB programs.
   • Lead all internal meetings with matrixed team members.
6. Perform all other miscellaneous responsibilities and duties as assigned or directed.