Position Summary:

Community Care Partnership of Maine (CCPM) is seeking a highly motivated and experienced Director of Value-Based Contract Operations to oversee and manage the organization's value-based contracts.

Key Responsibilities:

Oversight & Management of Value-Based Contract Performance

• Oversee and manage CCPM's value-based contracts, ensuring compliance with contractual obligations and performance targets.

• Develop and implement strategies to optimize contract performance, focusing on cost, quality, and utilization metrics.

• Develop and maintain relationships with payer point of contact; serve as the lead point of contact for CCPM on all payer-facing work.

• Maintain contract summary sheets and other relevant documents for all CCPM contracts in collaboration with CCPM’s Executive Administrator.

  Contract Negotiation Strategy

• Lead, develop and execution CCPM’s contract negotiation strategy in collaboration with the CCPM leadership team.

• Analyze and evaluate current and proposed contract terms, performance metrics, and financial implications to ensure alignment with CCPM's goals and objectives.

  Collaboration and Performance Improvement

• Work closely with the Quality Supervisor, Director of Clinical Operations & Population Health and other staff members to identify opportunities for improvement at the ACO and TIN level.

• Develop and implement interventions to enhance contract performance, focusing on quality, cost, and utilization metrics and targets.

  Contract Performance Optimization Strategy Meetings

• Serve as the Chair and develop and execute a structure for monthly contract performance optimization strategy meetings with CCPM's leadership team (Chief Executive Officer, Chief Operating Officer, Chief Clinical Operations Officer, and Chief Medical Officer).

  Education:

  A Bachelor's degree in a relevant field (e.g., Healthcare Administration, Business Administration, or related discipline) is required.

• Facilitate discussions and decision-making processes to review the ACO's contract performance and identify areas for improvement to achieve desired outcomes.

  Reporting and Analytics

• Develop and maintain comprehensive reporting systems to track and analyze contract performance metrics; collaborate with data analytics teams to ensure accurate and timely reporting of key performance indicators.

• Oversee the operationalization of population health tools, and all other pertinent data and information, to support contract performance optimization.

• Collaborate with relevant teams to ensure effective utilization of data and analytics for identifying improvement opportunities and implementing interventions.

  Stakeholder Engagement and Collaboration

• Establish and maintain effective working relationships with internal and external stakeholders, including payers, providers, and regulatory bodies.

• Represent CCPM in contract negotiations, meetings, and discussions related to value-based contracts.

  Policy and Advocacy Work

• Conduct research and analysis to understand the potential implications of proposed policies or legislation.

• Identify and analyze policies and legislation that align with the Community Care Partnership of Maine’s mission, values and identified advocacy priorities.

• Develop position statements, policy recommendations, and advocacy strategies to influence policymakers and legislators in collaboration with other key stakeholders, including the Policy & Advocacy Subcommittee

  Other Duties as Assigned

  Experience:

  Minimum of 5 years of experience in the healthcare industry, preferably with exposure to both payer and accountable care contract operations required.

  Other:

  Excellent analytical and problem-solving skills

  Covenant Health Mission Statement

  We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities.

  Our Core Values:

  •Compassion

  We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.

  •Integrity

  We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.

  •Collaboration

  We work in partnership, dialogue and shared purpose to create healthy communities.

  •Excellence

  We deliver all services with the highest level of quality, while seeking creative innovation.

  Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history).