VP Provider Reimbursement & Analytics
Company: Medica Services Company LLC
Location: Minnetonka
Posted on: April 5, 2021
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Job Description:
If you are a job seeker with a disability and require a
reasonable accommodation to apply for one of our jobs, you will
find the contact information to request the appropriate
accommodation by visiting the following page: Description The
position provides strategic thinking, development, and direction to
the design and implementation of Medica's provider value based
payment strategies and business plans. This position leads the
Provider Analysis & Reporting function, which is responsible for
unit cost management, provider contract modeling, fee schedule
development and maintenance, identification and implementation of
provider reimbursement related savings initiatives, and other
provider reimbursement activities. The position leads efforts to
measure, track, report, and analyze ACO, care-system, and overall
provider performance. Working closely with Key leaders, including
the Chief Actuary, Business Segments leaders, and Operations, this
role is responsible for the development and implementation of
innovative value-based reimbursement models and risk-share
arrangements. The position also works closely with Operations
leadership to develop and coordinate the company's provider
reimbursement policies. The position functions as the
organization's expert on provider payment and risk-sharing
methodologies. --Qualifications:
Keywords: Medica Services Company LLC, Minnetonka , VP Provider Reimbursement & Analytics, Executive , Minnetonka, Minnesota
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