Value-Based Programs Lead (Medicaid Strategy)
$104,000–$143,000 year
Remote · United States
Job Summary
Lead development and execution of value-based care strategy for Medicaid, advising senior leadership and shaping Medicaid VB proposals. Responsibilities include advising on Medicaid segment strategy to meet cost, quality, and provider advancement goals; supporting Medicaid RFP responses by developing market-specific VB strategies and provider partnerships; leveraging VB outcomes, trends, and regulatory information to inform strategy; collaborating with Medicaid Network and Network Strategy teams on VB provider contractual commitments; serving as SME for VB strategy in Medicaid RFPs; evaluating VB models based on ROI/quality/trends to optimize the Medicaid VB portfolio; contributing market insights to annual strategic planning; conducting competitor research to keep VB strategy industry-leading; monitoring national VB care trends and leading annual VB Report content development. Required skills include data-driven analytics, strategic problem solving, and effective communication with leadership; remote work with up to 10% travel.
Required Qualifications
- Bachelor's degree
- Five (5) or more years of experience in value-based care, preferably with a health plan
- Three (3) or more years of experience in a strategy advancement role
- Three (3) or more years of highly data-driven analytics experience, with a consistent focus on deeply analyzing and interpreting financial, quality, and utilization data to inform decision-making and drive outcomes
- Demonstrated ability to develop and execute strategies from concept through completion, delivering results on time, within budget, and aligned with objectives
- Ability to identify, structure, and solve complex business problems through analytical thinking and strategic decision-making
- Proven ability to communicate effectively with leadership teams, providing clear updates, insights, and recommendations to support strategic decision-making and organizational alignment
- Preferred qualifications include Experience with Medicaid managed care
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