What are the responsibilities and job description for the Senior Strategic Contracting Manager position at Hawaii Medical Service Association?
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Job Summary
Hybrid Work Environment - Must reside in Oahu
Pay Range : $86,500 - $179,500
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 collaboratively build next-gen models with key ACO 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 and terms are aligned with contract constructs.
Act as the primary relationship manager for key partners in market and provide ongoing BAU support to key provider partners :
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. Will lead matrixed staff comprised but not limited to program office (medicare / medQuest), legal, clinical operations, analytics-IT, finance staff.
Ensure that all internal divisions are apprised on the status of all VB programs.
Lead all internal meetings with matrixed team members.
Perform all other miscellaneous responsibilities and duties as assigned or directed.
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.
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