Manager Network Innovation & Strategy Job Listing at HCSC in Albuquerque, NM (Job ID R0031152)

Description

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is  invested in your future!

Job Summary This position is responsible for managing Value Based Care, new network strategy and development activities to enhance market stance, competitive capabilities, and profitability. Responsible for the identification, evaluation and development of innovative network / care management solutions; direction and expansion of Value Based Care provider contracting (Patient Center Medical Home, ACO, Bundled Payment models); identification and evaluation of competitive provider pricing models, high economic value and Performance Based Reimbursement programs; assessment of new network opportunities and value propositions; and development, promotion, presentation of network advantages/strengths.

JOB REQUIREMENTS:

• Bachelor's degree and 6 years managed care or network management experience at the Health Plan level or 10 years managed care or network management experience at the Health Plan level.
• Experience in provider contracting and negotiations.
• Experience in financial analysis related to provider reimbursement, payment methodologies and provider performance measures.
• Innovation, consultative and strategy skills; problem solving and Critical Thinking skills.
• Analytical skills and experience developing analytical presentation and pricing models.
• Clear, concise, and effective verbal and written communication skills including interpersonal and presentation skills.

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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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