This position is responsible for the development, maintenance and implementation of alternative payment methodologies (APM). This position has significant external visibility and requires strong collaboration with external stakeholders
The primary focus of this position is the State of Rhode Island’s Accountable Entity (AE) Program. In alignment with the Neighborhood’s Medicaid Managed Care contract with the Rhode Island Executive Office of Health and Human Services (EOHHS), this position develops implements, and oversees the contracts between Neighborhood and the state’s certified entities for the organization’s Medicaid products. These functions initially report to the Director of Strategy and Business Development and will subsequently transition to the Director of Provider Network Management.
As the AE Program matures, the secondary focus of this position is the development, maintenance and implementation of additional alternative payment strategies. For Neighborhood’s full portfolio of products (i.e. Medicaid, commercial and Medicare).
Job Specific Competencies:
Neighborhood is an Affirmative Action and Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, genetic information, age, disability, veteran status or any other legally protected basis.
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Neighborhood is an EOE M/F/D/V and an E-Verify Employer