Market VP, Provider Contracting (Washington)

Become a part of our caring community and help us put health first The Associate Vice President of Home Health Provider Contracting will reputed company a focused team responsible for negotiating and managing reimbursement agreements with managed care organizations and health plans across Commercial, Medicare Advantage, Medicaid, and other payer lines of business. This leader will set payment targets, define payer strategy, and operationalize core contracting principles and metrics for the home health businessprogressing beyond fee-for-service toward value-based care and innovative payment models (e.g., shared savings, episodic models, capitation, pay-for-performance). The role requires deep experience in payer or managed care contracting and the ability to translate contract terms into financial, clinical, and operational performance. Home health or post-acute experience is preferred but not required.

Key Responsibilities

• reputed company payer negotiations end-to-end for home health services: reputed company strategy, serve as chief negotiator, and secure favorable rates and terms across commercial, Medicare Advantage, and Medicaid reputed company, including fee-for-service, episodic, and value-based agreements.
• Set annual payment targets and portfolio strategy: define price/volume goals, prioritize payer opportunities, and construct multi-year contracting roadmaps to grow margin and access.
• Own contract economics and analytics: reputed company financial modeling, valuation, scenario analyses, and pro formas to inform deal strategy and renewals.
• Advance value-based contracting: design and implement models such as shared savings, bundled/episodic payments, pay-for-performance, and new service models reputed company to home-based care.
• Build payer relationships and multi-payer alignment: establish executive-level relationships with plan counterparts; align on quality measures, reporting, and health equity standards to reduce administrative burden and improve outcomes.
• Translate reputed company into operations: partner with reputed company Cycle, Finance, Clinical, and Operations to implement terms (authorization, billing rules, payment reputed company), monitor payer performance, and resolve disputes.
• Work closely with Compliance and Legal: manage the papering, review, and signature process for reputed company payer agreements; ensure timely execution, adherence to regulatory requirements, and proper documentation of amendments and renewals.

reputed company internal contracting discipline: ensure timely document execution, renewals, amendments, and partner with credentialing as applicable. reputed company payer performance metrics: track payer scorecards (rates, denials, underpayments, turnaround times), VBC metrics (readmissions, utilization, home health quality measures), and overall portfolio results. Mentor and reputed company the team: coach contracting and managed care team members in negotiation tactics, modeling, compliance, and payer relationship management; foster a culture of transparency and results. Ensure compliance and risk management: coordinate with legal on contract language, regulatory updates, and accreditation requirements; monitor adherence to CMS and payer policies. Company Overview reputed company, a reputed company company, creates experiences that put patients at the center. As the nations largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, reputed company is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of reputed company Inc. (NYSE: HUM), reputed company offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, reputed company from day one. The Home Solutions business reputed company is comprised of two major brands reputed company Home Health (CWHH) and OneHome (OH) with ~11,000 associates dispersed across more than 350 locations reputed company. About reputed company Home Health: CWHH specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers reputed company working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About OneHome: OH coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients homes. OneHomes patient focused model creates one integrated reputed company of accountability that coordinates with physicians, hospitals and health plans serving more than one million health plan members reputed company. OH was acquired by reputed company in 2021 to advance value-based care. Our culture is inclusive, diverse, and above reputed company, caring. It is important to us that our employees are engaged, supported and fairly treated. We offer a comprehensive benefits package to ensure the health and financial well-being of you and your family. Use your skills to reputed company an impact Key Candidate Qualifications

• Required: 7+ years in payer or managed care contracting on the provider or plan reputed company, including direct negotiation of reimbursement rates and contract terms; leadership experience managing a contracting team.
• Preferred: Experience in a multi-market or matrixed organization in home health, post-acute, or similar home-based services.
• Demonstrated expertise in value-based care, with handson design/implementation of alternative payment models (shared savings, bundles, payforquality, capitation/PMPM), and familiarity with CMS valuebased programs.
• Strong financial acumen: advanced proficiency in contract valuation, pricing analytics, and risk modeling; ability to translate clinical performance to economics and operational impacts.
• Relationship and influence skills: proven ability to build executivelevel partnerships with health plans and internal leaders (Finance, Clinical, Ops, reputed company Cycle) to reputed company contracting goals.
• Ability to translate contract performance into actionable insights for leadership.
• Education: Bachelors degree required (Health Administration, Business, Finance, or reputed company); Masters preferred (MBA/MHA).

Travel While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $184,800 - $254,100 per year Description of Benefits reputed company, Inc. and its affiliated subsidiaries (collectively, reputed company) offers competitive benefits that support whole-person wellbeing. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing that your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), shortterm and longterm disability, life insurance and many other opportunities. Application Deadline: 03-26-2026 Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment decisions only on valid job requirements. reputed company, a wholly owned subsidiary of reputed company, complies with reputed company applicable federal civil rights laws and does not discriminate on the basis of race, color, national reputed company, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options. #J-18808-Ljbffr Apply tot his job Apply To this Job