Regional VP of Managed Care Strategy & Contracting

Prime Healthcare Services; Chicago (IL); Presencial; USD 134.000 - 194.000; Jornada completa

Descripción de la vacante

Prime Healthcare Services is seeking a Regional VP, Managed Care to develop and implement organizational managed care strategies, including pay-for-performance and risk-based contracts. You will negotiate and administer contracts with managed care payers while guiding policy updates and program implementations.

Ideal candidates bring 10+ years of related experience, a Bachelor's degree (Master's preferred), and strong communication and strategic thinking skills to influence and lead

Formación

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

Responsabilidades

• Develops and implements managed care strategies and alignment models.
• Negotiates and administers contracts with managed care payers.
• Plans, evaluates, and implements managed care programs through contract negotiations.
• Assesses and structures rate reimbursement levels for managed care contracts.
• Develops relationships with governmental agencies and managed care entities.
• Reviews, monitors, and disseminates changes with regard to managed care plan policy and provider manual changes.
• Negotiates Medicaid contracts and supplemental funding.
• Assists Finance Department in projects assigned.

Conocimientos

Managed care concepts

Communication skills

Presentation skills

Strategic thinking

Independent worker

Educación

Bachelor's degree

Master's degree preferred

Descripción del empleo

Prime Healthcare Services is seeking a Regional VP, Managed Care to develop and implement organizational managed care strategies, including pay-for-performance and risk-based contracts. You will negotiate and administer contracts with managed care payers while guiding policy updates and program implementations.

Ideal candidates bring 10+ years of related experience, a Bachelor's degree (Master's preferred), and strong communication and strategic thinking skills to influence and lead