Job Description

Imagine a career at one of the nation's most advanced health networks.

Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

The Value Based Contracting Manager serves as a leader responsible for advancing enterprise-wide value-based payment strategy and population health contracting initiatives. This role leads the evaluation, development, and execution of innovative reimbursement models—including value-based, shared savings, and alternative payment arrangements—ensuring alignment with population health objectives, clinical integration strategies, and financial sustainability goals. This position plays a critical role in enterprise contract negotiations, performance and payer relationship management.

Job Duties

• Partner with Population Health Leadership to structure, negotiate, and manage payer contracts across multiple lines of business.
• Drive enterprise contract negotiations, including shared risk, capitation, bundled payments, and alternative payment models.
• Collaborate cross-functionally with Population Health, Finance, Legal, and Quality to ensure alignment between contractual terms, clinical programs, quality metrics, and operational workflows.
• Support continuous improvement by identifying opportunities to optimize contract performance, mitigate risk, and improve outcomes.
• Maintain enterprise dashboard of Payer Contract value-based performance and financial packet.
• Develop and prepare projects, reports, presentations detailing the anticipated and resulting outcomes from value-based contract negotiations.

Minimum Qualifications

• Bachelor’s Degree in Business.
• 5 years years of experience in healthcare finance, managed care, or healthcare/finance consulting.
• Must possess excellent organizational, analytical and interpersonal skills.
• Ability to focus on details and coordinate multiple projects simultaneously and to consistently apply standards with flexibility for various department functions.
• Ability to work independently with little to no supervision and the ability to take direction.
• Must have ability to interact with people at all levels and provide excellent customer service.
• Strong communication and advanced Microsoft Excel and PowerPoint skills.

Additional Qualifications
Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

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Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

Work Shift:

Day Shift

Address:

707 Hamilton St

Primary Location:

One City Center

Position Type:

Onsite

Union:

Not Applicable

Work Schedule:

Monday-Friday; 8:00a-4:30p

Department:

1004-13076 CSS-Payer Contracting