Vice President - Managed Care - FT - Days - MHS
Core
Corporate-level leader executing enterprise-wide strategic and tactical initiatives for complex negotiations with major national and regional payors to drive positive financial trends and achieve appropriate market price points for over two billion dollars in contract revenue.
Role type
Vice President, Managed Care Strategy & Negotiations
Builds
Contractual arrangements and financial reimbursement models for a clinically integrated healthcare delivery system including hospitals, physician networks, and ancillary services.
Domain
Healthcare / Managed Care / Health Economics
Required skills
Strategic planning, contract negotiation, financial analysis and forecasting, market share development, litigation strategy, team leadership, budget management, industry trend analysis, value-based payment structuring, dispute resolution
Preferred skills
Payer experience, provider experience, knowledge of healthcare reform and legislative changes
Technologies
None stated
Responsibilities
Develop and lead strategy to preserve and enhance net revenues; lead financial analysis and forecasting in conjunction with contract negotiations; execute strategies to protect and build market share using industry and utilization trends; participate in health plan litigation and development of related strategies; lead and monitor managed care contracting strategies for complex legal, financial and operational contract language negotiations; direct and monitor financial performance of negotiations with major national and regional payors; monitor and research insurance industry activities, healthcare reform, payer strategies, emerging market demands, and legislative considerations; lead and direct the strategic development and implementation of new product lines and alternative payment methods; monitor performance for expected results and adjust strategies as needed; lead and monitor operational issues from Managed Care Revenue Optimization, Accounts Receivable Management, or Joint Operations for solution or potential dispute resolution; initiate, develop and present managed care financial presentations for department and executive leadership; direct and monitor department operations, activities, resources to meet budget and goals; lead, direct, and guide staff in deployment and execution of initiatives, goals and plans
Seniority
Executive (VP), strategic leadership & team management
