NeueHealth
Healthcare
Director,ValueBasedPrograms
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“Director, Value Based Programs at NeueHealth. Skills: Value-based care, CMS models, Program strategy, Operations. Set strategy for value-based care initiatives. Serve as subject matter expert”
Industry & Context.
Critical thinker; Problem solving
Travel may be required
What You'll Do.
Set strategy for value-based care initiatives
Serve as subject matter expert
Develop executive-level presentations
Deliver strategic recommendations
Deliver stakeholder communications
Evaluate and pursue participation in new models
Conduct strategic assessments
Conduct financial analyses
Conduct operational readiness evaluations
Lead development of model applications
Lead responses to RFAs
Lead other CMS/CMMI submissions
Oversee program implementation
Oversee ongoing management for MSSP
Oversee ongoing management for LEAD
Oversee ongoing management for AHEAD
Oversee ongoing management for other initiatives
Monitor federal healthcare policy
Interpret CMS rulemaking
Interpret CMMI model updates
Own relationships with trade associations
Translate regulatory changes into strategies
Conduct market research
Conduct competitive analyses
Identify growth opportunities
Identify partnership strategies
Identify emerging trends
Partner cross-functionally with teams
Drive successful program execution
How You'll Work.
Team & Collaboration
Cross-functional teams; Clinical teams; Actuarial teams; Finance teams; Operations teams; Network management teams; Analytics teams; Compliance teams; Legal teams; Practice transformation teams
Communication Scope
Executive presentations; Stakeholder communications; Verbal communication; Written communication
Full Job Description
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. As a leader in value-based care, NeueHealth participates in the Centers for Medicare and Medicaid Services’ (CMS) and CMMI’s portfolio of alternative payment models. We are hiring a Director to support the value-based care program strategy and operations and evaluate new innovation model opportunities. In this highly visible role, the Director will report to the VP, Government Programs and Business Development and will manage a diverse portfolio that includes program evaluation and application writing, market analyses, policy updates, and stakeholder presentations. As an integral member of the team, the Director will work across teams to manage key deliverables, and collaborate directly with the VP, Government Programs and Business Development on strategic initiatives. Preferred locations for candidates are Miami, FL and Minneapolis, MN. ROLE RESPONSIBILITIES Under the direction of the VP of Business Development and Government programs, set NeueHealth’s strategy for value-based care initiatives, including Accountable Care Organizations (ACOs) and other CMS/CMMI alternative payment models. Serve as a subject matter expert on CMS alt
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