What are the responsibilities and job description for the Director Network Contracting & Provider Strategy position at medstar?
Responsible for the overall direction and management of the contracting value-based care (VBC) and network development strategies for the District of Columbia. Responsibilities include negotiating provider reimbursement rates and contract terms, developing value-based care arrangements, planning, directing, organizing and evaluating the implementation of strategic objectives to ensure access to a quality cost efficient comprehensive provider network. Oversight and monitoring of network development and provider contracting. Ensures that cost containment initiatives are met for the health plan. Formulates and implements policies and procedures to ensure compliance with applicable regulatory, contractual and accreditation standards and requirements. Acts as corporate authority on all reimbursement and payment methodologies, including incentive and Value-Based Care programs for the District of Columbia and Maryland health plans. Additionally, leads activities with other internal departments to provide optimal customer service to network providers and internal customers. Develops and oversees provider education program. Provides management, direction, development, problem resolution and leadership for the provider relations team
Position requires four days a week in our office in Washington, DC.
