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Indiana University Health

Director- Product Leader-CMS Direct Contracting

IU Health Plans
Date Posted
07 March, 2022
Schedule & Shift
Full Time
Day
Requisition Number
326949
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Director- Product Leader-CMS Direct Contracting

Job Description

Overview

The Director-Product Leader-CMS Direct Contracting is responsible for leading IU Health Direct Contracting arrangement with CMS as part of IU Health’s value-based care (VBC) strategic pillar.  In working across multiple areas of IU Health (e.g., VBC leadership, Managed Care, VBC Risk and Strategic Insights, Population Health, Finance, etc.), the leader will be the single point of contact for all matters related to the CMS Direct Contract program and performance.  The leader understands and supports the vision of IU Health’s VBC strategic pillar.  The leader will partner with IU Health Managed Care in the analysis, negotiation and contracting for all risk-based arrangements.  The leader translates CMS Program requirements into a recommended strategy and plan using their technical knowledge of the CMS Direct Contracting program. The leader partners with various functional leaders from throughout IU Health to implement and execute strategy. The leader is responsible for developing clear, consistent reporting tools and management processes that drive the clinical and economic performance of the various arrangements. This role moves between the deep technical program details and presentations, discussions and other interactions with a cross-functional executive audience. 

Qualifications/Skills/Experiences:

  • Bachelor’s degree required; Master’s degree preferred.
  • 7-10 years of healthcare experience; Prefer prior commercial (fully-insured) product experience and some prior experience or familiarity with pharmacy benefits management (PBM) oversight or administration.
  • Prefer candidates who have experience with integrated (provider/payer) delivery systems and can effectively balance traditional health plans needs with those of the broader health system.
  • Must be equally strategic and operational and have a track record of managing and leading teams focused on improvement, insights, strategy, and execution.
  • Able to inspire teams, set a vision, drive outcomes and do so through influence (versus authority or direct reporting lines).
  • Able to balance multiple competing priorities and deliver.
  • Must have demonstrated experience of delivering results in a matrix environment.

 

Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. As a condition of employment, IU Health requires all new hires to receive various vaccinations, including the influenza and COVID-19 vaccines, barring an approved exemption. New hires will also be provided the option to submit proof of previous vaccination.

We are an equal opportunity employer and value diversity and inclusion at IU Health. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

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Indiana University Health is Indiana’s most comprehensive health system, with 16 hospitals and more than 34,000 team members serving Hoosiers across the state. Our partnership with the Indiana University School of Medicine gives our team members access to the very latest science and the very best training, advancing care for all. We’re looking for team members who share the things that matter most to us. People who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day. People who are always ready to apply themselves.

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