Regional Vice President, Managed Care

Prime Healthcare Management Inc; Ontario (CA); Sur place; USD 180 000 - 280 000; Plein temps

Résumé du poste

Prime Healthcare in Ontario, California seeks a Regional VP, Managed Care to shape the organization’s managed care strategy and performance. You will lead development of alignment models, negotiate contracts with payers, and evaluate programs across the network.

This full-time leadership role requires 10+ years in managed care, strong strategic thinking, and excellent communication and presentation skills. Based in Ontario, CA, the position focuses on payer relations and program optimization.

Qualifications

• At least 10 years related experience.
• In-depth knowledge of managed care concepts, practices and procedures.
• Master's degree in related field preferred.
• Strategic thinker, goal oriented, ability to work independently.
• Excellent communication and presentation skills.

Responsabilités

• Develops and implements managed care strategies for the organization.
• Develops alignment models such as pay for performance, bundled payments and various forms of risk contracting.
• Negotiates and administers contracts with managed care payers.
• Responsible for planning, evaluating, and implementing the various managed care programs.
• Negotiates contracts with managed care companies.

Connaissances

Managed care experience

Knowledge of managed care concepts

Strategic thinking

Communication skills

Presentation skills

Formation

Master's degree in related field

Description du poste

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Responsibilities

The Regional VP, Managed Care will develops and implement the managed care strategies for the organization. Develops and implements alignment models such as pay for performance, bundled payments and various forms of risk contracting. Negotiates and administers contracts with managed care payers. Responsible for planning, evaluating, and implementing the various managed care programs. Negotiates contracts with managed care companies.

Qualifications

Required qualifications:

1. At least 10 years related experience. 2. In depth knowledge of managed care concepts, practices and procedures. 3. Master's degree in related field preferred.4. Strategic thinker, goal oriented, ability to work independently. 5. Excellent communication and presentation skills.

Preferred qualifications:

1. Payer and provider experience preferred.

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf