The Medicaid VBS Network State Manager manages and oversees compliance with our Network responsibilities as provided within the State Medicaid contractual requirements. This includes working with strategic provider partners to promote innovative value-based solutions, deploying alternative payment models, and negotiating value-based contracts with templated payment structures.
Requirements
- Minimum of 3 to 4 years recent Managed Care Network Value Based Contracting experience with 2-3 years Medicaid Network experience
- Microsoft Office experience with intermediate to advanced Excel and PowerPoint skills
- Excellent interpersonal skills and the ability to work with others at all levels
- Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals & Disputes and Network Performance Standards
- Excellent analytical and problem-solving skills
- Strong communication, negotiation, and presentation skills
- Proven ability to work in a matrixed organization
- Candidates are to reside within applicable State
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
