Associate Director, Medicaid Value Based Payment Solutions
Welcome to Humana, a leading healthcare company dedicated to helping people achieve their best health. We are currently seeking a highly experienced and passionate Associate Director to join our team and lead our Medicaid Value Based Payment Solutions. This pivotal role will be responsible for developing and implementing innovative payment models to improve the quality and value of care for our Medicaid members. The ideal candidate will possess a strong understanding of Medicaid regulations and have a proven track record of successful value-based payment program implementation. If you are driven by a mission to make a positive impact in the healthcare industry and have the required qualifications, we invite you to apply for this exciting opportunity.
- Develop and implement innovative payment models for Medicaid members to improve the quality and value of care.
- Ensure compliance with Medicaid regulations and guidelines in all payment model development and implementation.
- Lead and manage a team of payment solution experts to effectively execute and monitor value-based payment programs.
- Collaborate with cross-functional teams to identify areas for improvement and make recommendations for payment model enhancements.
- Stay updated on industry trends and best practices in value-based payment solutions for Medicaid, and incorporate them into the company's strategies.
- Analyze data and performance metrics to measure the effectiveness of payment models and make necessary adjustments to optimize results.
- Develop and maintain relationships with key stakeholders, including state agencies, providers, and community organizations.
- Communicate the benefits and impact of value-based payment solutions to internal and external stakeholders.
- Monitor and manage budget and resources allocated for value-based payment program implementation.
- Provide regular updates and reports to senior leadership on the progress and success of value-based payment solutions.
- Foster a culture of continuous improvement and innovation within the team and organization.
- Ensure all processes and procedures related to value-based payment solutions are documented and followed.
- Mentor and develop team members to enhance their skills and capabilities in value-based payment solutions.
- Represent the company at conferences, events, and other industry forums to showcase our expertise in Medicaid value-based payment solutions.
- Uphold the company's mission and values and act as a role model for the team and organization.
Extensive Knowledge And Experience In Medicaid Value Based Payment (Vbp) Models: The Ideal Candidate Should Possess In-Depth Knowledge And Understanding Of Various Vbp Models, Such As Accountable Care Organizations (Acos), Bundled Payments, And Pay-For-Performance Programs Within The Medicaid Space. They Should Also Have A Proven Track Record Of Successfully Implementing Vbp Solutions.
Strong Leadership Skills: As An Associate Director, The Candidate Will Be Responsible For Leading A Team And Driving The Implementation Of Vbp Solutions. Therefore, They Should Have Excellent Leadership Skills, Including The Ability To Motivate And Guide Team Members, Delegate Tasks Effectively, And Make Strategic Decisions.
Familiarity With Medicaid Regulations And Policies: Humana Operates Within A Highly Regulated Industry, And As Such, The Ideal Candidate Should Have A Thorough Understanding Of Medicaid Rules And Policies. This Includes Knowledge Of State-Specific Requirements, Compliance Standards, And Emerging Trends In The Medicaid Vbp Landscape.
Analytical And Problem-Solving Skills: The Associate Director Will Be Responsible For Analyzing Data, Identifying Areas For Improvement, And Developing Solutions To Enhance Vbp Performance. Therefore, They Should Have Strong Analytical Skills, Including The Ability To Interpret Complex Data Sets And Make Data-Driven Decisions.
Excellent Communication And Relationship Management Skills: The Candidate Should Have Excellent Communication Skills, Both Written And Verbal, To Effectively Collaborate With Cross-Functional Teams And Stakeholders. They Should Also Have Strong Relationship Management Skills To Build And Maintain Partnerships With Key Stakeholders, Including Providers, Payers, And Government Agencies.
Risk Management
Quality Improvement
Strategic Planning
Project Management
Data Analysis
Contract Negotiation
Stakeholder engagement
program implementation
Solution development
Medicaid Expertise
Value-Based Payment
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
Critical thinking
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Associate Director, Medicaid Value Based Payment Solutions in Louisville, KY, USA is between $110,000 and $150,000 per year. This range may vary depending on factors such as experience, education, and specific job responsibilities.
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Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. Its strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people they serve across the country. The company operates its business through the following segments: Retail, Group, and Healthcare Services.
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