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    Senior Strategic Contracting Manager - Honolulu, HI, United States - Hawaii Medical Service Association

    Hawaii Medical Service Association
    Hawaii Medical Service Association Honolulu, HI, United States

    1 week ago

    Default job background
    Description

    Senior Strategic Contracting Manager #

    Island

    Locations

    Kapiolani-OLHMS

    Company

    Employment Type

    Full-time

    Job Summary

    **Hybrid Work Environment - Must reside in Oahu**

    Pay Range : $81,931 - $135,801

    Note : Individuals typically begin between the minimum to middle of the pay range

    • Administers HMSA's provider contracting for value-based programs.
    • Design, develop and operationalize new clinical integration programs.
    • Design, develop and operationalize next-generation payment models.
    • Relationship manager for key partner providers in market.
    Duties and Responsibilities
    • 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.
    • 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.
    • 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.
    • 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.
    • 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.
    • Perform all other miscellaneous responsibilities and duties as assigned or directed.
    #LI-Hybrid

    Exempt or Non-Exempt

    Exempt

    Minimum Qualifications

    • Bachelor's degree and three years of related work experience; or an equivalent combination of education and related work experience.
    • One year of leadership experience or experience leading teams.
    • Excellent written and verbal communication skills (with distinction in driving discussions with senior executives internally to HMSA and across partner organizations and community leaders.)
    • Knowledge of health care payment and delivery models and systems; understanding of health plan role and industry.
    • Strategic planning and contracting or health care administration/finance experience.
    • Must have valid driver's license, access to an automobile with current license, registration, and no-fault insurance.
    #J-18808-Ljbffr
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