Director, Value-Based Contracting & Provider Engagement

Description

COMPANY OVERVIEW

Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the healthcare equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs, and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com.

Summary Description

Responsible for the development, execution, and ongoing management of Zing Health’s value-based strategy. Additionally, this role is responsible for supporting the execution of the enterprise provider engagement strategy. This person will lead executive account management for Zing Health’s value-based contract partnerships, including implementing new relationships and ongoing performance management of existing relationships. Informs Zing Health’s value-based contracting strategy and performance incentive programs. Provides oversight and direction on how Zing Health interfaces, communicates with, and educates its provider partners across the contracting spectrum.

Essential Functions

Value-Based Contracting

• Develops, executes, and manages strategy for value-based contracting;
• Define and execute implementation plans for new value-based partners to ensure the successful launch of new partnerships;
• Executive account manager for existing value-based partnerships; will serve as the face of Zing Health to our external partners and facilitate day-to-day operations;
• Shall represent Zing Health’s value-based partners internally, managing across functions on behalf of Zing Health’s partners;
• Lead joint operating committees with value-based partners;
• Drive organizational awareness and alignment toward a value-based contracting strategy;
• Develop a fundamental understanding of how partnerships impact day-to-day business processes at Zing;
• Partner with senior leadership at Zing Health to integrate processes related to value-based partnerships;
• Proactively identify opportunities (internal and external) for value-based partners;
• Inform Zing Health’s performance incentive offerings across the value-based contracting continuum.
• Define implementation plan for new value-based partners to ensure successful execution of agreements.
• Lead and coordinate communications between Zing Health and its value-based partners, serving as the executive account manager for key relationships.
  
  

Provider Engagement

• Partners with other leaders at Zing Health to develop and execute a provider engagement strategy with the goal of strengthening relationships with providers;
• Examples include quality incentive programs, CSNP verification, member onboarding, etc.;
• Leads, develops and trains internal and external staff on strategic initiatives related to provider engagement (strategic products, value-based partnerships, incentive programs, etc.);
• Partner with internal stakeholders to address provider issues;
• Provides input to provider communication such as letters, presentations, and collateral materials as needed.
• Assist network operations leadership in managing strong working relationships with all providers; this includes visits with providers as needed.
  
  

General

• Collaborative relationship within all segments of Zing Health, including but not limited to Actuarial Sciences, Information Technology, Member Experience, Sales & Marketing, Quality & Risk Adjustment, Finance, and executive leadership team.
• Promotes a culture of compliance.
  
  

Requirements

QUALIFICATIONS AND REQUIREMENTS:

Job Requirements

Required Qualifications

• Bachelor's degree (B.A.) or equivalent
• 5 to 8 years of prior healthcare experience required (managed care, physician group, health system, healthcare consulting)
• 3 years of account management, project management, strategic consulting, or value-based experience
• Strong communication and customer service/account management skills
• Self-driven with the ability to identify/assess problems with proposed solutions
• Comfortable with a dynamic, fast-paced environment
• Ability to read, analyze, and interpret data, financial reports, and legal documents; Ability to use data to inform strategy and action plans
• Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community
• Knowledge of Microsoft Office and Salesforce software
  
  

Company Benefits Include But Not Limited To

• Medical
• Dental
• Vision
• PTO (Paid-Time-Off) for sick and vacation
• Employer paid Life Insurance
• 401(K)
• Several supplemental benefits.