Director: Payer Strategy  Program Design

Added
18 days ago
Type
Full time
Salary
Salary not provided

Related skills

growth strategy project management care management stars risk adjustment

πŸ“‹ Description

  • Lead client engagements from kickoff to delivery.
  • Manage projects, teams, deliverables, and timelines.
  • Lead go-to-market and growth strategy for health plans.
  • Translate coverage decisions into practical operational paths across functions.
  • Lead technical assistance and analyses for Medicare and Medicaid policy.
  • Mentor and develop junior team members.

🎯 Requirements

  • 7 10 years of relevant work experience with in-house MA plan exp.
  • Medicare Advantage expertise including STARS, risk adjustment, perf mgmt.
  • Ability to bridge plan strategy and operations.
  • Excellent written and verbal communication skills.
  • Strong consulting aptitude; manage a dynamic project portfolio.
  • MBA preferred; MPH/MPA/MPP or related degrees considered.
  • Experience with SNP care management is a plus.
  • Regional or smaller health plan experience is a plus.
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