Jobs

The Senior Director of Payer Contracting and Relations at CentraCare leads payer strategy development and execution. This role oversees payer agreements, including negotiation, renewal, compliance, and reimbursement optimization. Key responsibilities include: lead payer strategy development and execution, oversee negotiation, renewal, compliance, and optimization of payer agreements, cultivate strong payer relationships and resolve issues, and align contracting strategies with organizational goals.

This role is ideal for a strategic leader with a strong background in payer contracting and relationship management. Apply if you are passionate about driving financial and operational success while making a difference for our communities!

Schedule Details:

• Full-time | 80 hours every two weeks
• Primarily Monday – Friday, hours typically between 8am –4:30pm
  • Flexibility within typical start and end times
• On-site position, primarily working out of CentraCare South Point

Pay and Benefits (Total Rewards):

• Starting pay $103,590.08 per year, exact wage determined by years of related experience
  • Salary range: $103,590.08 - $155,374.44 per year
  • Salary and salary range is based on a 1.0 FTE, reduced FTE will result in a prorated offer rate
• Full-time benefit eligible | Benefits Guide
• Retirement with matching, up to 7.5%

Qualifications:

• Bachelor’s Degree in business administration, healthcare management, finance, or related field required
  • Master’s Degree preferred
• At least 10 years of experience in healthcare payer contracting and relations, with at least 5 years of leadership experience managing payer negotiations and strategic relationships
• Extensive knowledge of healthcare reimbursement models, including fee-for-service, shared risk, and value-based contracts
• Proven track record of successful contract negotiations, payer relationship management, and revenue enhancement through innovative contracting strategies
• Experience working with both commercial and government payers (Medicare, Medicaid), including regulatory compliance
• Experience working in a large health system, multi-site healthcare organization, or payer environment preferred
• Familiarity with payer-specific analytics tools, contract management systems, and healthcare compliance software preferred
• In-depth understanding of healthcare regulatory environments, including Medicare and Medicaid rules, value-based care contracts and initiatives, and compliance requirements preferred

CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.

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The Senior Director of Communications and Public Affairs will oversee NAACOS’ public presence, leading the development and execution of its communications strategy. This role will provide senior leadership with strategic insights on the communication impacts of organizational initiatives and help position NAACOS as a thought leader in value-based care.

The ideal candidate is a results-driven, strategic thinker who excels in media relations, digital strategy, stakeholder engagement, and content development. The Senior Director will collaborate across all departments to manage media planning, thought leadership initiatives, and advocacy communications, ensuring alignment with NAACOS’ priorities. The position is a hybrid position reporting to the Senior Vice President of Public Affairs.

Key Responsibilities:

Strategic Communications and Thought Leadership

• Implement the association’s communications and media relations strategies for external audiences and policymakers to raise the visibility of association advocacy and other activities and accomplishments.
• Work with the association’s executive leadership and public affairs to develop and refine strategic messaging for various audiences to best position the association to achieve its advocacy goals and avoid undesirable outcomes.
• Cultivate relationships with trade and mainstream media to shape accurate and timely coverage of association perspectives and activity on issues related to value-based care.
• Advise senior leadership on communication impacts of organizational initiatives, evaluating effectiveness of communication strategies and recommending improvements.
• Draft and pitch thought leadership articles for key publications (e.g., Health Affairs, NEJM Catalyst).
• Work with the public affairs team and NAACOS members to develop op-eds, blog posts, white papers, and other high-impact content.
• Maintain and enhance overall messaging for NAACOS.

Stakeholder and Partner Relations

• Develop and manage all Alliance for Value Based Patient Care communication materials, including newsletters, white papers, and issue briefs.
• Collaborate with Alliance members to translate materials such as patient stories and fact sheets.
• Manage the Alliance website, social media channels, and overall messaging strategy.

Media and Press Relations

• Lead proactive and reactive media strategies, fostering relationships with key reporters and outlets.
• Maintain and update the press list, ensuring strong engagement with media contacts.
• Respond to media inquiries, coordinate interviews, and prepare NAACOS members and ACO leaders for press engagements.
• Draft press releases, press statements, and comment letters in coordination with the public affairs team.
• Translate key messages into compelling content that engages targeted audience.
• Support teams across the organization in developing effective materials and creating visual materials such as infographics, social media graphics, videos, and presentations.

Advocacy and Government Relations Support

• Develop clear, engaging advocacy materials, including fact sheets, white papers, and presentations.
• Translate complex policy issues into accessible, visually compelling content for various stakeholders.
• Support NAACOS-led campaigns, ensuring consistent branding and messaging in advocacy efforts.

Advise and Support NAACOS Activities

• Provide cross-departmental support for key activities including, but not limited to: marketing and promotion of events, member communication, branding and messaging.

• Support management of NAACOS’ website and social media presence, ensuring timely and impactful content.
• Continuously assess digital strategy trends and advise leadership on emerging opportunities.

Qualifications:

• Bachelor’s degree required; experience in healthcare associations or policy organizations is preferred.
• 10+ years of experience in communications, public affairs, and media relations.
• Demonstrated success in developing and executing multi-channel communication strategies.
• Strong track record of media engagement, including writing and pitching articles, managing press relations, and securing media coverage.
• Experience developing high-quality content, including thought leadership articles, blog posts, fact sheets, and advocacy materials.
• Ability to manage multiple projects, work collaboratively across teams, and provide strategic guidance to senior leadership.
• Strong writing, editing, and presentation skills, with an ability to translate complex topics into compelling narratives.
• Experience in digital strategy, web content management, and social media marketing.
• Proven ability to set key performance indicators (KPIs) and measure the impact of communication efforts.
• Experience managing external vendors and consultants to support communication efforts as needed.

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The Director of Federal Affairs is responsible for developing, analyzing, and advocating for healthcare policy initiatives that support NAACOS’ mission and its members’ goals. This role involves conducting policy research, leading advocacy efforts, and collaborating with key stakeholders to influence healthcare legislation and regulatory changes. The Director of Federal Affairs will engage with member organizations, government officials, and other stakeholders to ensure the association’s voice is represented in policy discussions, while also educating members on the implications of policy developments. The position is a hybrid position reporting to the Senior Vice President of Public Affairs.

Key Responsibilities:

Policy Development and Analysis:

• Lead the development of healthcare policy strategies that align with the association’s mission and the needs of its members for designated issue areas.
• Conduct thorough research and analysis on healthcare policies, legislation, and regulations, providing strategic recommendations to leadership.
• Draft policy briefs, position papers, and reports on key legislative and regulatory issues impacting provider payment and value-based care.
• Monitor and assess the impact of healthcare policies, trends, and regulations.

Advocacy and Legislative Affairs:

• Represent the association in legislative advocacy efforts.
• Support efforts to build coalitions and partnerships with healthcare providers, industry associations, and advocacy groups to support common policy objectives.
• Develop and implement strategies for advocating on behalf of the association and its members, including lobbying and grassroots advocacy campaigns.
• Attend hearings, legislative sessions, and industry events to advocate for the association’s policy positions.

Stakeholder Engagement and Collaboration:

• Collaborate with member organizations to understand their policy needs and ensure their interests are represented in the association’s advocacy efforts.
• Provide members with timely updates on healthcare legislation and regulatory developments that may impact their operations.
• Foster relationships with external stakeholders, including policymakers, healthcare leaders, and industry associations, to build support for key policy initiatives.

Education and Outreach:

• Develop educational materials and resources for members, explaining complex policy issues and their potential impact on the healthcare industry.
• Lead workshops, webinars, and forums to keep members informed of legislative changes and best practices in healthcare policy.
• Act as a key spokesperson for the association on policy matters, delivering presentations and public addresses to inform stakeholders.

Qualifications:

• Bachelor’s degree required and at least six years of experience in public policy analysis and/or strategy development; master’s degree preferred.
• 5-7+ years of experience in government relations, political advocacy, or a related role within a Congressional office, trade association, political campaign, or health care organization.
• Experience developing and analyzing public policy, healthcare delivery and reimbursement, public health, and/or other relevant policy issues.
• Strong research and analytical skills, with the ability to assess policy impacts and recommend strategic responses.
• Excellent written and verbal communication skills, with the ability to translate complex policy issues into clear, actionable recommendations.
• Strong relationship-building and collaboration skills, with experience working with diverse stakeholders

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Job Summary 

The ideal candidate for the Manager of Population Health role is passionate about advancing patient-centered care and possesses the skills to lead a dynamic population health and quality team. The successful candidate will report directly to the SVP of Population Health while representing and overseeing all aspects of the ACO, care management, quality and value-based programs. The Manager of Population Health will be an experienced registered nurse leader, preferably with a certification in case management.

Duties and Responsibilities 

• Spearhead annual GPRO CMS Data collection in partnership with the SVP, providers and appropriate vendors
• Demonstrate excellent active listening, written, and verbal communication skills 
• Oversee programs that aim to improve clinical health outcomes for all patients
• Monitor the goals and objectives of Population Health initiatives while maintaining alignment with strategic goals and objectives for Richmond Health Network
• Maintain the Population Health roadmap which encompasses the Population Health Care Model, Accountable Care Organization, and RHN plans
• Manage quality programs and initiatives to improve health outcomes related to process improvement measures
• Evaluate the quality of care in care-management panels through a clinical and population health lens by assessing appropriate levels of care and support services for patient panels
• Develop and implement robust provider engagement strategies to meet the goals of Population Health/ACO, such as Annual Wellness Visits, Quality Management data collection, CCM and TCM
• Utilize population health tools and databases, electronic patient registries, and other reports as available to collaborate with providers and quality facilitators to identify, manage, and address care and utilization opportunities with high-risk patients, ACO and chronic disease registries
• Closely monitor all quality, costs and utilization data from CMS and contract payer programs
• Monitor productivity of reporting staff and establish productivity minimum expectations for each role. Provides regular feedback and support to staff in meeting performance expectations
• Apply clinical knowledge and skills to manage and oversee day-to-day operations of the population health and care management teams in support of improving performance metrics of organizational goals
• Develop and implement quality improvement initiatives to enhance patient safety, satisfaction, and overall healthcare delivery
• Provide leadership and support in the development and maintenance of quality improvement programs
• Conduct regular audits, assessments, and evaluations to identify areas for improvement and implementing evidence-based practices
• Works closely with the CM staff in an effort to safely, effectively and efficiently move patients across and through the continuum of care
• Oversees daily operations of the Care Manager (CM) staff 

Education, Experience, and Licensure Requirements 

• BSN
• Master's degree in business, healthcare or Nursing
• Prior manager level experience
• Currently licensed in NY State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment 
• Basic Life Support for providers through the American Heart Association is required 
• Prior case management, utilization review, and discharge planning experience preferred 
• Certified Case Manager (CCM) preferred

Day Shift; 9a-5p

Salary Range: $115,000 - $130,000

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PRIMARY FUNCTION: 

• The Manager, Actuarial Informatics is responsible for a specified team of informatics analysts.  He/she coordinates projects and manages the team informatics functions including the monitoring of cost & utilization trends, benchmarks, quality measure performance, disease burden capture and network performance. This team is the key provider of data, information, and detailed analytics used to measure performance of population health initiatives at Jefferson and identifying value based improvement opportunities. Supports targeted initiatives for the Jefferson Clinically Integrated Network, the Einstein Care Partners ACO, the Delaware Valley ACO and the Jefferson Clinical Enterprise. Assists in maintaining a critical interdependence between the Actuarial Informatics team, other areas of the Division of Populations Health, IT, Finance, Payor contracting and other key Jefferson stakeholders.

ESSENTIAL FUNCTIONS:

• Analytics
  • Develops and maintains data/reporting systems that allow for ease of data retrieval and manipulation from a variety of sources including EHR, quality, claims payment, utilization management, health plan risk pools, pharmacy, lab, internal charges, and others as necessary.
  • Responsibilities include the development and enhancement of Population Health “Key Performance Indicators and Metrics” used to measure and quantify Jefferson’s Population Health (and ACO) experience through real-time reporting, early indicator reporting, and prospective and retrospective analyses.
  • Develops financial models to assess performance of value based reimbursement arrangements.
  • Develops models to evaluate provider network and Jefferson contract proposals.
  • Identifies trends and recommends methods for reducing cost/utilization.
  • Coordinates requests for analysis from internal and external clients including assignment, mentoring and establishing timelines.
  • Performs research on industry performance measures.
  • Develops departmental and individual goals.
  • Ensures accuracy and readability of for all team projects.
  • Performs additional duties as assigned.
• Leadership
  • Responsible for managing team, communicating and assigning tasks as appropriate, performing yearly performance evaluations, etc.
  • Assist analysts in written analytic summaries used to communicate financial performance and trend analysis to Jefferson executives.
• Continuous Improvement
  • Maintains proficiency and expertise in Jefferson data applications, state of the art business intelligence software and reporting tools that include, but are not limited to, MS SQL Server Components (Query Analyzer & coding, Analysis Server, Stored Procedures, Jobs, and Functions), MS Fabric, Python, R, SAS, Qlik, PowerBI and Microsoft Office (Word, Excel, PowerPoint, and Access) to prepare complex multi-factorial analysis.
  • Continues development/enhancement of skill sets for direct reports. Actively pursues industry knowledge growth.

OTHER FUNCTIONS AND COMPETENCIES:

• Demonstrates strong mathematical, statistical, financial, technical, interpersonal, organizational, project management skills, and ability to maintain confidentiality.
• Demonstrates effective communication skills (oral and written).
• Demonstrates the ability to work independently, be a problem solver and decision maker, identify key business issues and develop appropriate action plans.
• Demonstrates literacy of health plan data and statistical analysis tools e.g. Python, R, SAS, SQL, Excel.
• Demonstrates managerial and leadership abilities and maintain effective working relationships throughout all levels throughout Jefferson
• Performs other duties as required for which the employee is qualified to perform.

EDUCATIONAL/TRAINING REQUIREMENTS:

Bachelor’s Degree in Mathematics, Actuarial Science, Statistics or related field required.

Master’s degree preferred.
Associate or Fellow in the Society of Actuaries and Member of the American Academy of Actuaries preferred.

EXPERIENCE REQUIREMENTS:

Minimum of 3-5 years of analysis experience related to health care or insurance with 1 year of supervisory experience preferred. In-depth knowledge of managed care and medical products.

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