Job summary
Job post source
This job is directly from Fidelis Care, part of Centene Corporation.
Job overview
The Manager, Provider Engagement - VBP (Medicare) leads and manages Medicare-focused value-based payment initiatives to improve health outcomes and financial sustainability within Fidelis Care's Medicare Advantage and D-SNP programs.
Responsibilities and impact
The role involves overseeing Medicare VBP contracts, leading a team for contract execution and performance monitoring, developing contract models, advising on payment methodologies, collaborating with internal teams, representing Medicare VBP in governance, monitoring CMS policies, and occasionally traveling to partners.
Compensation and benefits
The position offers a salary range of $86,000 to $154,700 annually, comprehensive benefits including health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, holidays, and flexible work schedules with hybrid work options.
Experience and skills
Candidates should have a Bachelor's degree (MBA/MHA/MPH preferred), 2-5 years of managed care experience including VBP program management, strong contract modeling and CMS policy interpretation skills, proficiency in Microsoft Excel and PowerPoint, and preferably experience with data visualization tools and managerial experience.
Career development
The role offers opportunities to work on strategic Medicare VBP initiatives, collaborate cross-functionally, and develop leadership skills in a growing healthcare organization.
Work environment and culture
Fidelis Care values diversity and inclusion, offers a flexible work environment including remote and hybrid options, and is committed to equal opportunity employment.
Company information
Fidelis Care is part of Centene, a national diversified healthcare organization serving 28 million members with a focus on value-based care and healthcare transformation.
Team overview
The manager will lead a team of analysts focused on Medicare VBP contract execution and performance, working closely with VBP leadership and cross-functional teams.
Job location and travel
This is a hybrid position based in Long Island City, NY, requiring 2-3 days per week in the office with occasional travel to partners.
Unique job features
The role is distinguished by its focus on Medicare-specific VBP contracts, strategic influence on contract modeling and payment structures, and involvement in cutting-edge CMS-aligned risk-based healthcare models.
Company overview
Fidelis Care is a leading health insurance provider in New York, offering a range of affordable health coverage options including Medicaid, Medicare Advantage, Child Health Plus, and Qualified Health Plans through the NY State of Health Marketplace. The company generates revenue primarily through government contracts and member premiums. Founded in 1993 by the Catholic Medical Center of Brooklyn and Queens, Fidelis Care has a mission to ensure that all New Yorkers have access to quality, affordable health care. In 2018, it became part of Centene Corporation, expanding its resources and reach.
How to land this job
Position your resume to highlight your expertise in Medicare Value-Based Payment (VBP) programs, emphasizing experience with contract modeling, performance management, and CMS-aligned risk-based models.
Highlight your leadership skills in managing teams focused on Medicare VBP implementation and your ability to collaborate cross-functionally with actuarial, legal, clinical, and provider relations teams.
Apply through multiple channels including Fidelis Care's official corporate careers page and LinkedIn to maximize visibility and ensure your application reaches the right hiring managers.
Connect with current Fidelis Care employees in the Medical Management or Health Services teams on LinkedIn, using ice breakers like asking about recent Medicare VBP initiatives at Fidelis or expressing interest in how they navigate CMS regulatory changes.
Optimize your resume for ATS by incorporating keywords from the job description such as 'Medicare Advantage', 'Dual Eligible Special Needs Plans', 'contract modeling', 'CMS-aligned models', and 'performance management' to pass initial automated screenings.
Use Jennie Johnson's Power Apply feature to automate tailored applications, identify the best platforms to apply on, and find relevant LinkedIn contacts, allowing you to focus your energy on meaningful networking and interview preparation.
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