Network Strategy & Strategic Relationship Development Professional

Company: MVP Health Care
Location: Schenectady
Posted on: May 24, 2023

Job Description:

Network Strategy & Strategic Relationship Development Professional

Headquarters Office, 625 State Street, Schenectady, New York, United States of America Req

Wednesday, April 12, 2023

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!

Network Strategy & Strategic Relationship Development Professional is responsible for overseeing the execution of MVP's Alternate Payment Model (APM) strategy and key Network initiatives. This team member is responsible for working with the Network Strategy team and key leaders and contributors across the organization (namely Actuarial Services, Network Management, Operations, Digital Transformation and Technology and Strategic Provider Engagement) to support development, successful implementation, provider adoption and refinement of innovative MVP payment models and/or data exchange initiatives designed to meet the needs of our customers with a focus on the Quadruple Aim: improving population health, reducing costs, enhancing the member experience and instilling a culture of mutual respect and belief in our provider relationships.

The role will

• Oversee efforts to execute APM payment model and/or data exchange strategies to align with MVP's overall goals by working collaboratively with Actuarial, Digital Transformation and Technology, Health Management and the leadership of other core functional areas
• Enable providers to adopt and be successful in innovative new payment methodologies such as capitated primary care models, value-based payment risk arrangements and bundled payments; initial focus is on primary care with an evolution to high-cost specialty care
• Support Clinical Strategic Provider Engagement and Network Management in guiding providers / partners from concept promotion and discovery, through negotiations, to agreement and contracting for network products through implementation, adoption and maintenance
• Develop, monitor and execute plans to achieve initiative success and implementation to achieve targeted business outcomes
• Contribute to APM playbook through content development and education
• Capture program success stories by documenting the stories and helping teammates learn to share the message along with the rationale, network product features with providers / partners
• Collect and relay valuable feedback to inform future model development and roadmaps
• Develop targets and oversee the definition and tracking of success metrics for new payment models, data exchange initiatives, and other network products
• Support account planning and development efforts for new provider / partners accounts with other Network and Health Management team members
• Convey feedback and recommendations from teammates and provider accounts to Network Strategy and Network Product Development to support existing product refinement and new product / initiative development
• Support the evaluation of the success of our initiatives, programs and tools including reporting, impact on quality, trend, member experience and regulatory relationships
• Perform other related duties as assigned
  POSITION QUALIFICATIONS
  
  Minimum Education:
  
  • Bachelor's degree in business, health care administration, or related field
  • Advanced degree preferred
    Minimum Experience:
    
    • Minimum of 5 years' experience with increasing responsibilities in business development, account management, and/or business partner relationship management in a healthcare business or organization, with prior health care provider, system, or insurance/managed care experience preferred
    • Experience with Population Health strategies and Alternate Payment Models (APM) to aid in the transition from Fee-For-Service to Value-Based Payment (VBP) including capitation models, high-performing networks, enhanced preferred providers programs, bundled payments, etc.
    • Knowledge of health information exchange (i.e., clinical data and claims data sharing)
    • Comfort and skill communicating with external and internal parties to deliver key messages, influence stakeholders, manage expectations, and shape outcomes
    • Experience leading through innovation, change, and even disruption
    • Track record of relationship management, ideally in health care provider space, with particular focus on solution development
    • Experience developing and monitoring delivery of efficient and effective solutions to diverse and complex business problems
    • Business development skills with negotiation and provider contracting experience preferred
    • Capable of collaborating with multidiscipline, high-performance work teams with demonstrated ability to coordinate resources and goals across multiple related priority initiatives
    • Must be able to understand, define, cost, prioritize, and implement new approaches
    • Experience with APM and population health use cases (e.g., quality reporting, risk coding, care coordination, total medical expense initiatives, etc.) preferred
    • Experience with health care financial reporting, population health analytics and budget and ROI analysis preferred
      Required Skills:
      
      • Willingness and ability to embrace and express MVP's core values:
      • Be the difference for the customer
      • Be curious
      • Be humble
      • Curious and willing to learn and identify opportunities to apply existing, emerging, and new payment methodologies throughout the MVP provider network
      • Business development, ideally including negotiation and contracting skills, along with a proven ability to communicate, influence and persuade internal and external leaders as well as peers
      • Ability to establish strong relationships and maintain a high level of trust and confidence
      • Excellent communication skills, internally and externally with the ability to convey key messages and influence stakeholders
      • Exhibited skills in leading program development and management efforts involving strategy development, program development, client/partner engagement, and implementation
      • Strength in problem-solving based on experience, subject matter expertise, and objective data analysis
      • Ability to analyze project needs and determine resources needed to meet objectives and solve problems spanning multiple interdisciplinary teams and environments
      • Ability to work with data to perform basic analysis, interrogate data to answer questions, and evaluate payment model impact/comparison for providers.
      • Comfortable working on simultaneous and diverse projects and activities
      • Ability to work under pressure with urgency and speed
      • Ability to travel as required throughout MVP Health Care's service area
      • Effective use of Microsoft Office software (Outlook, Excel, PowerPoint, and Word)
        About MVP
        MVP Health Care is a nationally recognized, not-for-profit health insurer caring for more than 700,000 members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse, employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve. MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at
        
        Please apply and learn more - including how you may become a proud member of our team.
        
        Other details
        • Job Family Network Management & Development
        • Pay Type Salary

Keywords: MVP Health Care, Schenectady , Network Strategy & Strategic Relationship Development Professional, Other , Schenectady, New York