Chief Network & Value-Based Care Officer

CareFirst BlueCross BlueShield; Baltimore (MD); Hybrid; USD 274,480 - 411,720; Full time

Job summary

CareFirst BlueCross BlueShield in Baltimore, MD is seeking an executive to build and drive a growth-oriented provider network strategy that advances value-based payment models and equitable access across geographies.

You will lead contracting, negotiation, and reimbursement, oversee senior relationships with delivery partners, and guide cross-functional teams to deliver measurable value, affordability, and quality improvements.

Qualifications

• Bachelor's Degree in Business or related field; equivalent business experience.
• 12 years of related healthcare experience and 7 years of direct management.
• Experience with provider contracting, negotiation and reimbursement development; provider relations and recruitment; and/or network development.

Responsibilities

• Develop and execute a growth-oriented network roadmap and strategy.
• Lead provider contracting, negotiation and reimbursement initiatives.
• Oversee provider network operations across multiple geographies.
• Manage senior relationships with health care delivery partners.

Skills

Management

Negotiation

Analytical skills

Communication

Education

Bachelor's Degree in Business

Equivalent business experience

Job description

CareFirst BlueCross BlueShield in Baltimore, MD is seeking an executive to build and drive a growth-oriented provider network strategy that advances value-based payment models and equitable access across geographies.

You will lead contracting, negotiation, and reimbursement, oversee senior relationships with delivery partners, and guide cross-functional teams to deliver measurable value, affordability, and quality improvements.