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Director, Value Based Care Performance
Portland, ME
Job Description
Summary
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Position Summary
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The Director, Value-Based Care Performance serves as a thought and operational leader in the execution of alternative payment models to support the partnership of MaineHealth and Agilon health. The Director provides expertise in driving operating processes and value-based payment transformation methodologies which align and support the development of MaineHealth Medical Group competencies in value-based programs performance. The director will partner with administrative and clinical leadership to identify performance improvement opportunities and execute tactics to address those opportunities. They will bring both the energy and initiative necessary to promote operational success in key partnership goals.
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Required Minimum Knowledge, Skills, and Abilities (KSAs)
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Education: Bachelor's Degree from a four-year college or university is required. An MBA or equivalent is highly desirable.
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License/Certifications: N/A
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Experience: Must hold a minimum of 5 years of related health care experience, and a record of successfully completing similar duties, demonstrating considerable knowledge of health care organizations, operations, finance, quality, program planning, and managed value-based care.
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In-depth understanding of provider contracting, provider development, delivery system design, quality and medical cost management, contracting/reimbursement, etc.
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Proven experience in the successful negotiation of contract rates and terms with sophisticated and profitable established managed care and provider organizations.
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Experience in negotiating existing and new provider hospital, physician and ancillary contracts.
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Prior experience with value-based/alternative payment models.
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Ability to interact effectively with all levels of administrative and medical staff and to facilitate the progress of multidisciplinary personnel teams in the pursuit of common goals and objectives.
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Requires proficiency in analytic software including spreadsheet (Excel), database (Access), and presentation (PowerPoint) programs, with strong aptitude for learning additional software.
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Must possess sharp analytical skills and strong organizational skills, have excellent communication skills and have the ability to create clear and articulate correspondence and documents.
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Independent thinking, resourcefulness and excellent problem-solving skills are required.
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Strong analytical, creative, organizational, and interpersonal skills are required as are being hands-on, versatile, and a self-starter.
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Must be a team player comfortable working in a fast-paced organization.
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Must have the ability to teach complex concepts to users at all levels.
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MaineHealth values diversity and is an Equal Opportunity/Affirmative Action employer. Federal and state laws prohibit discrimination in employment because of race, color, national origin, religion, age, sex, sexual orientation, disability or veteran status.
Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
Bachelor's Degree
Required Experience
5+ years
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