Molina Healthcare

VP, Valued Based Contracting (Remote)

Molina Healthcare$180K — $250K *
Orem, UT 84057In-Person
Healthcare
11 - 15 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in business, finance, or economics.
  • 15+ years of leadership experience in relevant fields.
  • 10+ years of experience in value-based/network contracting.
  • Extensive background in health insurance operations.
  • Experience in leading and influencing teams in a matrix organization.

Responsibilities

  • Define and implement governance processes for Value Based Contracting.
  • Assess and manage risks related to VBC including regulatory and operational aspects.
  • Align diverse stakeholders on a unified operational model for VBC.
  • Create and maintain standards for analytics, data quality, and reconciliation in VBC.
  • Ensure coordination between critical functions such as Actuarial and Finance.
  • Report monthly VBC performance metrics to company leadership across levels.
  • Develop and recruit talent necessary for executing VBC strategy.

Benefits

  • Competitive benefits package including health and wellness programs.
  • Opportunities for professional development and advancement.
  • Supportive work environment focused on collaboration and community engagement.
Full Job Description
Job Description

Job Description

Job Summary

The VP Value-Based Contracting is an executive focused on establishing and overseeing the organization's Value-Based Contracting Center of Excellence. The position acts as a strategic partner with Network, Medical Economics, Risk Adjustment and Quality, Finance, EIM/IT, and Clinical leadership to develop and implement consistent governance and processes around all aspects of Value Based Contracting. The scope includes negotiation, valuation, implementation, reconciliation, and the underlying data integrity for value-based contracts.

Job Duties
  • Define and implement a Value Based Contracting governance process for the organization.
  • Assess internal and external risks associated with VBC, including risks related to state regulations, new / renewal RFPs, data infrastructures, internal silos/processes, etc.
  • Define, propose, and align numerous disparate stakeholders around a strategic unified VBC operating model that mitigates risks while enabling strategic differentiators.
  • Create standards regarding VBC, including PADUs, analytics, data, and reconciliation processes with providers.
  • Ensure alignment with key stakeholders - Network (strategy and negotiation), Med Econ (valuation and reconciliation), Enterprise Information Management (data), Actuarial (review / validation), Finance (review / validation), Risk Adjustment, and Quality.
  • Implement and execute the defined enterprise-wide operating model.
  • Provide monthly reporting to the organization about all aspects of Value Based Contracting to all levels of leadership at the company, from ELT to Health Plan leadership.
  • Define, develop, and recruit talent as needed for the VBC organization to ensure talent at all levels is in place to execute key goals.
  • Define and maintain a strong working partnership with Medical Economics, Network, Actuary, Finance, Enterprise Information Management, and IT to determine and implement the best processes, systems, and technology to optimize VBC's efficiency and effectiveness.
  • Provide strategic leadership while also managing multiple, complex, challenging projects and managing extended teams of direct/indirect reports in a matrixed environment.


Job Qualifications

Required Education:
  • Bachelor's degree in business, finance, or economics.

Required Experience:
  • 15+ years of leadership experience
  • 10+ years experience in value based / network contracting
  • Significant experience in health insurance
  • Experience leading and influencing both direct and indirect reports

Preferred Qualifications:
  • MBA/Masters in applicable field
  • PMP or Six Sigma Green Belt Certification desired.

Travel Requirements:

Air Travel: 15%

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

About Molina Healthcare

Molina Healthcare focuses exclusively on government-sponsored health care programs for families and individuals who qualify for government-sponsored health care. It contracts with state governments and serves as a health plan, providing a wide range of quality health care services to families and individuals.

Molina Healthcare Careers

Join the dedicated team at Molina Healthcare, a leader in providing quality healthcare services to families and individuals who qualify for government-sponsored programs, including Medicaid and Medicare. As one of the most respected companies in the health services industry, Molina Healthcare offers unparalleled job opportunities aimed at empowering your career growth and professional development.

Work You’ll Do

At Molina Healthcare, you will engage in meaningful work that directly impacts lives across the country. Our team is committed to innovation in healthcare, ensuring that all members receive the best care possible. By joining us, you will collaborate with skilled professionals dedicated to our mission of providing accessible, high-quality healthcare.

Career Opportunities and Growth

Whether you are looking for your first job, seeking a leadership role, or aiming to specialize in healthcare professions, Molina Healthcare offers a range of career paths. Our job opportunities span across various functions, including clinical services, customer support, IT, project management, and more. We believe in fostering the growth of our employees through professional development, leadership training, and diversity initiatives.

Internship Programs

Kickstart your career with a Molina Healthcare internship. Our internships provide invaluable workplace experience, offering a glimpse into the healthcare industry through hands-on projects and mentorship. Interns at Molina Healthcare gain critical skills that prepare them for future employment, making them competitive candidates in the job market.

Culture and Benefits

Molina Healthcare is not just a company; it’s a community. We prioritize a culture of inclusivity and respect, where all team members are encouraged to bring their whole selves to work. Our employees enjoy comprehensive benefits, including health insurance, retirement plans, and wellness programs, all designed to support both their professional and personal lives.

Join Our Team

Explore the various positions available at Molina Healthcare and find where your skills and interests align with our needs. We are continuously hiring talented individuals who are passionate about making a difference in healthcare. Prepare your resume, sharpen your interview skills, and become part of a team that values hard work and creativity.

Stay Connected

Keep up to date with the latest at Molina Healthcare: - **Career Growth and Networking:** Advance your career through our professional development and networking opportunities. Learn from leaders and peers alike to build connections that propel your career forward. - **Innovation and Leadership:** Drive change and lead with confidence by participating in our leadership and innovation training programs.

Apply Now

Ready to take the next step in your healthcare career? Search open positions that match your skills and interests on the Molina Healthcare Jobs portal. We look for driven, curious, and compassionate team players ready to make an impact.

Stay Informed

Subscribe to Molina Healthcare job alerts and receive updates on new openings and company news directly to your inbox. Tailor your subscription to match your career preferences and stay ahead in the dynamic field of healthcare. Join Molina Healthcare, where your career is nurtured, your contributions are valued, and your growth is guaranteed.
Learn more about Molina Healthcare
Size
14,000 employees
Market Cap
$19.5 billion
Industry
Net Income
$673 million
Founded
1980
5 Year Trend
+9.3%
Revenue
$19.4 billion
NASDAQ

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