Director, Strategic Provider Partnerships Job at Ohana Health Plan, Waipahu, HI

U01WTmpJck9zTUxpNGV5UjZrd1pwMnhRZGc9PQ==
  • Ohana Health Plan
  • Waipahu, HI

Job Description

Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Lead provider and health plan strategy related to performance improvement on cost, quality, coding and member outreach and engagement. Responsible for ongoing review of performance reporting and data, interpreting and prioritizing results; utilize tools and resources to identify performance insights; work with health plan and provider functional leadership to present results and recommend actions to providers. Manage provider performance in all levels of value-based agreements, including quality & utilization pay for performance and risk contracts.

Remote but must reside in Hawaii.

  • Develop provider performance improvement strategy at the plan and provider levels
  • Analyze and interpret cost and quality data to determine performance insights and prioritize provider actions
  • Facilitate joint operating committee (JOC) performance discussions and work cross-functionally to build consensus on priorities and actions to improve performance
  • Present financial, medical cost and quality performance data to provider leadership
  • Support value-based contract negotiations through the contract value and support model
  • Provide high-level recommendations to providers and health plan leadership regarding opportunities to optimize clinical workflow to increase member outreach and care coordination
  • Understand member population and provider variation by line of business to most effectively support providers with performance improvement
  • Develop proficiency in tools and value based contracting and educate providers on the use of tools and interpretation of data

Education/Experience: Bachelor’s Degree in Healthcare Administration, Business Administration, or similar field; Master’s degree preferred. 7+ years of experience in managed care, value-based contracting, or clinical experience.

Pay Range: $103,500.00 - $191,600.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Job Tags

Holiday work, Contract work, Remote job, Flexible hours,

Similar Jobs

Powder River Industries

Program Manager Job at Powder River Industries

 ...Job Description Execute all aspects of project management tasks as defined in the Program Management Book of Knowledge, Program Management Institute....  ...investigation current within the last 5 years On-site, no remote Must have deep DoD or Intelligence Community... 

Montecito Village Travel

Travel Advisor Job at Montecito Village Travel

 ...Job Description Company Description Montecito Village Travel (MVT), established in 1972, is a premier Virtuoso travel agency headquartered...  ...for its travelers. Role Description This is a full-time remote role for a Travel Advisor. The primary responsibilities include... 

Ace Analytical Laboratory

Laboratory Analyst - Cannabis Testing Job at Ace Analytical Laboratory

 ...Job Description Job Description Join a leading ISO/IEC 17025:2017 accredited cannabis testing laboratory in the heart of Las Vegas! We are a dynamic, fast-paced lab dedicated to ensuring the safety and quality of cannabis products. We are seeking a self-motivated... 

BAE Systems USA

CAS Aftermarket Material Handler Job at BAE Systems USA

 ...also works closely with other teams in Endicott, as well as other BAE facilities to utilize material that has already been procured...  ...Ability to clearly communicate needs Experience working with ERP system (Oracle, job boss, SAP, etc) Preferred Education,... 

Titus-Will Automotive Group

Automotive Porter / Lot Attendant Job at Titus-Will Automotive Group

Titus-Will Automotive Group is looking for porters/lot attendants for a brand new used car dealership opening in Sumner this July. Titus-Will is a trusted, family-owned and operated business since 1938, and is a great place for you to call home. We are looking for friendly...