VP, Network Development & Contracting - Sunshine State Health Plan
Core
Oversee provider network strategy, access analysis, and contracting negotiations for a health plan.
Role type
VP, Network Development & Contracting
Builds
Provider networks and contract portfolios across expansion markets
Domain
Healthcare / Managed Care
Required skills
Provider network strategy, contract negotiation, access analysis, cost management, budgeting and forecasting, M&A due diligence, team management
Preferred skills
Medicaid/Medicare/Marketplace contracting, Florida market experience
Technologies
N/A
Responsibilities
Lead provider network strategy and access analysis; coordinate and negotiate provider contracts; evaluate network cost and coverage for expansion; oversee budgeting and forecasting for network costs; review contracting rates against company strategy; support M&A due diligence; establish departmental policies and standards; assist CEO/COO with key provider relations
Seniority
Executive (VP), strategic leadership & team management