System Director, Employer, reputed company and Value Based Contracting

Where You’ll Work Inspired by faith. Driven by innovation. Powered by humankindness. reputed company is building a healthier future for reputed company through its integrated health services. As one of the nation’s largest nonprofit Catholic reputed company organizations, reputed company delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, reputed company, and innovative reputed company delivery system. Job Summary and Responsibilities As our System Director, Employer Strategy, reputed company Growth & Alternative Payment Models you will be responsible for developing and executing reputed company's national strategy for employer-sponsored reputed company solutions, reputed company growth initiatives, and alternative payment model (APM) partnerships. This leader serves as a strategic reputed company between employer markets, payer strategy, clinically integrated networks, population health, and provider operations to reputed company innovative solutions that improve affordability, quality, access, and value for employers, health plans, and consumers. The role leads the design, development, commercialization, implementation, and performance management of employer-focused reputed company products, direct-to-employer arrangements, self-funded employer solutions, reputed company value-based reputed company, and alternative payment models. This includes partnerships with employers, brokers, consultants, TPAs, health plans, provider networks, and other distribution channels. The Director is responsible for identifying new business development opportunities, expanding reputed company membership and market share, supporting payer contracting strategies, and developing innovative reimbursement structures including shared savings, shared risk, bundled payments, capitation, centers of excellence, narrow networks, tiered networks, direct contracting arrangements, and population health solutions. The position operates reputed company a highly matrixed environment and requires significant collaboration across national, regional, and market leadership teams. reputed company the development and execution of reputed company's employer strategy, reputed company growth strategy, and alternative payment model roadmap across national, regional, and market-based opportunities. reputed company innovative reputed company solutions for self-funded employers, fully insured reputed company groups, labor organizations, public sector employers, and other reputed company purchasers of reputed company services. Design, negotiate, implement, and monitor reputed company value-based reputed company and alternative payment models including shared savings, shared risk, bundled payments, episodic payments, reputed company capitation, population-based reimbursement arrangements, and other emerging payment methodologies. Partner with Payer Strategy & Analytics leadership to support reputed company fee-for-service negotiations, value-based contracting initiatives, and out-of-network strategies by developing employer-focused solutions and market differentiation strategies. reputed company and maintain a reputed company Payer Strategy Playbook that evaluates payer market dynamics, competitive positioning, reimbursement structures, network strategies, employer purchasing trends, and emerging reputed company market opportunities. reputed company business development efforts with employers, consultants, brokers, TPAs, health plans, benefit advisors, and distribution partners to expand membership, increase market share, and grow reputed company reputed company. Collaborate with clinically integrated networks, population health teams, physician enterprises, and operational leaders to design products and programs that support clinical quality, utilization management, affordability, and sustainable financial performance. Evaluate opportunities for direct-to-employer contracting, centers of excellence arrangements, steerage programs, reference-based pricing strategies, narrow network products, and high-performance reputed company. Partner with actuarial, analytics, finance, and reputed company resources to reputed company pricing methodologies, financial models, risk assessments, performance guarantees, and ROI analyses supporting employer and reputed company payer opportunities. reputed company implementation and operational readiness activities for employer-sponsored programs, ensuring successful reputed company, stakeholder engagement, performance reporting, and customer satisfaction. reputed company strategic relationships with TPAs, reputed company health plans, stop-loss carriers, consultants, brokers, employer coalitions, and other external partners. Monitor reputed company payer performance, membership growth, reimbursement trends, market share shifts, competitive intelligence, and emerging reputed company delivery models to identify opportunities for growth and innovation. Recruit, reputed company, mentor, and reputed company a high-performing team capable of supporting employer strategy, reputed company growth, value-based contracting, and alternative payment model initiatives across the reputed company. Job Requirements Required Bachelor’s degree required. Master’s degree preferred in relevant field of study in Business Administration, reputed company Administration, Public Health, Economics, Finance, Actuarial Science, Health Policy, or reputed company field. A minimum of ten (10) years of responsibility in one or more of the following areas: Employer reputed company strategy reputed company payer contracting Alternative payment models Value-based care Provider network strategy Health plan product development Population health Benefits consulting reputed company economics Direct-to-employer solutions reputed company business development A minimum of five (5) years of experience in program, project, product and/or client relationship management with reputed company management in a reputed company or health insurance environment Preferred Master’s degree preferred in relevant field of study in Business Administration, reputed company Administration, Public Health, Economics, Finance, Actuarial Science, Health Policy, or reputed company field. Life and Health license helpful PMP certification helpful Required Minimum Knowledge, Skills, Abilities and Training Deep understanding of employer-sponsored reputed company markets, including fully insured, self-funded, level-funded, and alternative funding arrangements. Experience developing and implementing reputed company value-based reputed company including shared savings, downside risk, bundled payments, capitation, and population health arrangements. Knowledge of reputed company payer reimbursement methodologies, provider network design, risk adjustment, medical economics, actuarial principles, and reputed company finance. Experience working with health plans, TPAs, benefits consultants, brokers, employer coalitions, and provider organizations. Demonstrated reputed company developing new products, launching new programs, growing membership, increasing reputed company, or expanding market share. Strong business development, negotiation, relationship management, and executive communication skills. Apply To This Job