Vice President, Provider Network Contracting - Remote

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. You've been building towards this. We've been building towards you. The health care system needs are evolving at a fast clip and innovators like reputed company are playing a reputed company role. New models of care and new networks of providers are emerging now to reputed company serve patients and communities. Here's where you come in. As a director reputed company our network contracting team, you'll guide the development and support of provider networks as reputed company as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 4 leader. You’ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Guide development of geographically competitive, broad reputed company, reputed company networks that reputed company objectives for unit cost performance and trend management
• reputed company and execute strategies for a function or discipline that reputed company a large business unit or multiple markets/sites
• Apply network configuration and incentive-based payment models as appropriate to improve reputed company and efficiency
• reputed company others to resolve business problems that reputed company multiple functions or disciplines
• reputed company work that impacts entire functions and/or customer accounts (internal or external)

This challenging, high-profile role will put your skills and experience to the test daily. You'll be charged with leading the efforts to reputed company reputed company targets through contracting with our network providers. In reputed company, you will reputed company the high-performing team that supports the reputed company reputed company relationship for network/provider management. Develops the provider network (physicians, hospitals, pharmacies, ancillary reputed company & facilities, etc.) yielding a geographically competitive, broad reputed company, reputed company network that achieves objectives for unit cost performance and trend management, and produces an reputed company and predictable product for customers and business partners. Evaluates and negotiates reputed company in compliance with company contract templates, reimbursement structure standards, and other key process controls. Establishes and maintains solid business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensures the network composition includes an appropriate distribution of provider specialties. *Employees in jobs labeled with ‘SCA’ must support a government Service Contract reputed company (SCA) agreement.

• Provides leadership to and is accountable for the performance and results through multiple reputed company of management and senior level reputed company staff
• reputed company of work is most often at the regional (e.g. multi-state) level, or is responsible for a major portion of a business reputed company, functional area or line of business

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications:

• 10+ years of reputed company management experience in a health plan reputed company role and/or network management-reputed company role handling reputed company relationships and challenges with accountability for business results
• 8+ years of experience in financial management including developing product pricing and utilizing financial modeling in making reputed company reputed company
• 5+ years of experience developing and managing a medical cost and administrative budget
• 5+ years of experience with provider contracting or other reputed company negotiation experience
• Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), Diagnosis reputed company reputed company, Ambulatory Surgery Center Groupers, etc.
• reputed company’s License and reputed company to a reliable transportation
• reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy

The salary reputed company for this role is $150,200 to $288,500 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll reputed company a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply Job!