National Contracting Director (Value Based Care) - REMOTE

Lensa; Phoenix (AZ); Remote; USD 107,000 - 209,000; Full time

Job summary

An established industry player is seeking a National Contracting Director to spearhead Value-Based Care initiatives. This strategic role involves designing innovative programs that enhance healthcare delivery across Medicaid, Medicare, and Marketplace sectors. You will lead the development of contracting frameworks and ensure alignment with organizational goals while incorporating social determinants of health and health equity into program models. If you have a passion for improving healthcare outcomes and a strong background in VBC, this position offers an exciting opportunity to make a significant impact in the healthcare provider industry.

Qualifications

• 7+ years in VBC design or provider network strategy.
• Experience across Medicaid, Medicare, and Marketplace.

Responsibilities

• Design and tailor VBC programs for diverse populations.
• Lead VBC strategy development for RFP submissions.

Skills

Value-Based Care (VBC) Expertise

Stakeholder Engagement

Data-Driven Strategy Development

Communication Skills

Understanding of Social Determinants of Health (SDOH)

Education

Bachelor's Degree in Health Policy or related field

Master's Degree in related disciplines

Job description

National Contracting Director (Value Based Care) - REMOTE

Lensa, a leading career site, is assisting Molina Healthcare in seeking qualified professionals for the role of National Program Director – Value-Based Care. This strategic leadership position involves developing and implementing VBC programs across Medicaid, Medicare, and Marketplace sectors.

Key Responsibilities

1. Design and tailor VBC programs for diverse populations and provider types.
2. Create contracting frameworks that include FQHCs, behavioral health providers, LTSS agencies, and hospitals.
3. Incorporate social determinants of health and health equity into program models.
4. Analyze industry trends, performance data, and regulations to inform program design.
5. Lead VBC strategy development for RFP submissions, aligning with organizational goals.
6. Coordinate with clinical, actuarial, analytics, and business teams for program alignment.
7. Establish metrics, monitor performance, and iterate based on feedback and market changes.
8. Represent the organization at external forums and stakeholder meetings as a subject matter expert.

Knowledge, Skills, and Abilities

• Expertise in current VBC trends, payment models, and performance levers.
• Understanding of clinical priorities across populations and provider types.
• Knowledge of SDOH, health equity, and community-based organizations.
• Strong stakeholder engagement and influence skills.
• Data-driven approach to strategy development.
• Experience in drafting VBC narratives for RFPs and understanding procurement scoring.
• Excellent communication skills, both written and verbal.
• Ability to navigate ambiguity and independently drive initiatives.

Minimum Education and Experience

• Bachelor's Degree in Health Policy, Public Health, Business, or related field, or equivalent experience.
• 7+ years in VBC design or provider network strategy.
• Experience across Medicaid, Medicare, and Marketplace.
• Proven success in implementing or managing VBC programs.

Preferred Qualifications

• Master’s degree in related disciplines.
• Experience developing RFP content/responding to procurements.
• Experience with health equity initiatives or SDOH models.

The role offers a pay range of $107,028 - $208,705 annually, with actual compensation varying based on location and experience. The position is at the Director level, with a contract employment type, and falls within the healthcare provider industry.