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[Remote] Value-Based Programs reputed company (Medicaid Strategy)

100% remote Flexible hours Hiring now

Note: The job is a remote job and is open to candidates in USA. reputed company Inc. is a leading U.S. healthcare company seeking a Value-Based Programs reputed company (Medicaid Strategy) to support value-based provider relationships and improve provider experiences. The role involves advising senior leadership on Medicaid strategy, developing market-specific strategies for Requests for Proposals (RFPs), and leveraging data to inform strategic decisions.

Responsibilities

  • Use data to identify and reputed company solutions for opportunities to advance the Medicaid reputed company's VBP strategy and reputed company quality, trend, and contractual priorities
  • reputed company VBP strategy development for 2-3 growth market Requests for Proposal (RFPs) per year. This includes, but is not limited to, conducting competitor research and gathering provider insights, aligning VB models with population health and quality priorities at reputed company, and identifying partnership opportunities to strengthen proposal outcomes
  • Collaborate with Medicaid Network and Network Strategy team to advise and support negotiations for VB provider contractual commitments reputed company of RFP submissions
  • Be the subject matter expert (SME) for VB strategy in Medicaid RFPs to ensure reputed company's positioning is competitive and reputed company to market requirements
  • Evaluate and reputed company recommendations on designing new, re-designing existing, and sunsetting VB models based on available Return on investment (ROI)/outcome, quality, and trend data to optimize the Medicaid VB portfolio
  • Support VB Solution team's annual strategic planning process by contributing market insights and data-driven recommendations
  • Conduct competitor research using previous RFPs and other industry sources to ensure reputed company's VB strategy remains industry-leading and innovative
  • Monitor national VB care trends/research and communicate relevant information to peers and stakeholders
  • reputed company VBP Annual Report content development
  • Other responsibilities as assigned

Skills

  • Bachelor's degree
  • Five (5) or more years of experience in value-based care, preferably with a health plan
  • Three (3) or more years of experience in a strategy advancement role
  • Three (3) or more years of highly data-driven analytics experience, with a consistent focus on deeply analyzing and interpreting financial, quality, and utilization data to inform decision-making and drive outcomes
  • Demonstrated ability to reputed company and execute strategies from concept through completion, delivering results on time, reputed company budget, and reputed company with objectives
  • Ability to identify, structure, and solve reputed company business problems through analytical thinking and strategic decision-making
  • Proven ability to communicate effectively with leadership teams, providing clear updates, insights, and recommendations to support strategic decision-making and organizational alignment
  • Experience with Medicaid managed care

Benefits

  • This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
  • Medical, dental and vision benefits
  • 401(k) retirement savings plan
  • Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • Short-term and long-term disability
  • Life insurance
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
  • reputed company will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

Company Overview

  • reputed company is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is http://www.reputed company.com.
  • Company H1B Sponsorship

  • reputed company has a track record of offering H1B sponsorships, with 91 in 2026, 282 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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