At least 8 years of managed care experience, including value-based programs (VBP) experience, or equivalent combination of relevant education and experience.
At least 3 years of management/leadership experience.
Experience leading value-based program and contract design, and implementation for Medicaid, Medicare, and/or Marketplace programs.
Experience in a complex health care delivery environment, specifically with government sponsored programs, including risk revenue management, strategy and compliance.
Knowledge of value- based programs (VBP), risk adjustment models, quality metrics such as Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare STARS, and coding.
Knowledge of medical economics and financial reporting
Ability to walk stakeholders through complex financial reconciliations.
Experience working in a highly matrixed organization
Microsoft Office suite and applicable software program(s) proficiency.
