Senior Strategic Contracting Manager

HMSA
United States, Hawaii, Honolulu
818 Ke’eaumoku Street (Show on map)
Jan 15, 2025
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 collaborative build next-gen models with key ACOs 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 / terms are aligned with contract constructs. Act as the primary relationship manager for key partners in market and provide on-going BAU support to key provider partners. Sr Strategic Contracting Manager will 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. Sr. Strategic Contrating Manager will Lead matrixed staff compliment -- comprised but not limited to program office (medicare/medQuest), legal, clinical operations, analytics-IT, finance staff. Ensure that all internal divisions are apprised on status of all VB programs. Lead all internal meetings with matrixed team members. Perform all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid