SVP - Payor Partnerships and Contracting

October 29

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Village Medical

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primary care • value based care • telehealth • healthcare • healthcare innovation

51 - 200

Description

• Provide strategic thought leadership to Summit Health and CityMD business unit Presidents • Lead all the commercial and government contracting functions for the business unit • Develop scalable team structure with regional leverage that manages local and state level health plan relationships • Establish the department's strategic vision, objectives, and policies and procedures • Lead the negotiation of complex, value-based payor agreements • Advise the business unit executive team on emerging trends and methodologies in managed care contracting • Pursue and develop relationships with payors and employers regarding new payment models • Operate effectively in a highly integrated, matrix environment • Develop, implement, and maintain production and quality standards for the payor contracting department • Negotiate and improve upon stop loss provisions • Form strong, collaborative, working relationships across multiple payor organizations

Requirements

• Bachelor’s degree required; a focus in Business preferred • 20+ years in progressive roles required • Demonstrated analytical, project management, and leadership skills • Experience with and understanding of health care reimbursement methods • Experience modeling payor contracts • Knowledge of value-based contract methodologies and preferred financial and administrative terms • Experience negotiating quality and efficiency metrics preferred • Ability to think independently, and develop new processes/analyses required • Strong organizational skills with the ability to multi-task and execute against multiple competing priorities • Proficiency in Excel, PowerPoint, and Word required • Located in the NE with the ability to travel regionally 25-50% of the time

Benefits

• Health insurance • Dental insurance • Life insurance • Access to a 401k plan