Assistant Vice President - Managed Health Resource

December 9

🇺🇸 United States – Remote

🌲 North Carolina – Remote

Although this job is listed in North Carolina, this company may be open to hiring remote in other states.

⏰ Full Time

🔴 Lead

👔 Vice President

Apply Now

Receive Emails with Similar Jobs

Atrium Health Wake Forest Baptist

WebsiteLinkedInAll Job Openings

Preventive Care • Specialized Care • Children's Hospital • Comprehensive Cancer Center • Digestive Health Center

10,000+ employees

⚕️ Healthcare Insurance

Description

• Manages the payor portfolio of the Managed Health Payor Contracting Division. • Leads team to meet the managed health payor contracting objectives of MHR and enterprise/market. • Ensures appropriate negotiation planning is completed and presented. • Develops contracting strategy to support the growth of the enterprise/market through meeting the critical needs of affiliate entities as well as supporting operational changes. • Lead team member negotiates appropriate contract rates and language within established deadlines with financial results that meets or exceeds net revenue budgets and net margin targets to support the mission of the enterprise/market. • Provides the division with accurate and current managed care market intelligence; maintains a working understanding of local/regional/national trends, conducts competitive market assessments, changes and impact of regulatory environment, changes and impact of payor initiatives and provides other information to support MHR and the enterprise/market initiatives. • Ensure Managed Care Analytics team members accurately and timely completes all required analyzes and contract modeling to support Managed Care Payor Contracting activities. • Oversees the development and delivery of standard contract metrics, reporting frequency, and delivery of Executive Summary report to measure portfolio performance. • Performs most work under normal office conditions. May include sitting for long periods, standing, driving, walking. • Intact sight and hearing with or without assistive devices required. Require frequent verbal and written communications in English to payors, teammates, physicians, and others throughout the System.

Requirements

• Master's Degree required (MBA or MHA) • Willing to consider Bachelor’s Degree with experience in a comparable position within a like size or larger organization. • 7 years experience as a contract negotiator required • Willing to consider 10 years combined provider and/or payor experience as a contract negotiator. • Proven track record of closing negations on time and at or exceeding budget expectations. • Closed negotiations for a major payor/major system required • Experience with multi-entity system and/or large physician multi-specialty group preferred.