VP- PAYOR CONTRACTING & NETWORK STRATEGY

Aspirus, Inc; Town of Wausau (WI); On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Full benefits packages

PTO accrual from day one

Generous retirement plan with match

Wellness program

Job summary

Aspirus Health in WAUSAU, WI is seeking a Vice President of Payor Contracting & Network Strategy to lead reimbursement strategies for all payor contracts across the Aspirus Network, Inc. team.

The role provides strategic leadership and oversight to ANI provider members, shaping network strategy and payer relations. The ideal candidate will have extensive healthcare finance and contracting experience, and strong leadership capabilities to influence staff and provider members while navigating the

Qualifications

• Bachelor's degree in accounting, finance, business, or health care management.
• Master's degree in health care or business administration is preferred.
• Minimum of ten years' health care leadership and management experience.
• Superior knowledge of the managed care environment and payor contracting.
• Professional associations or certifications related to health care are preferred.

Responsibilities

• Provide strategic leadership, direction, and oversight of reimbursement strategies for all payor contracts executed and managed for ANI provider members.

Skills

Financial leadership

Contracting expertise

Healthcare reimbursement

Strategic leadership

Regulatory knowledge

Stakeholder influence

Education

Bachelor's degree

Master's degree preferred

Job description

Compassion. Accountability. Collaboration. Foresight. Joy.

These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.

Aspirus Health in WAUSAU, WI is seeking a VP- PAYOR CONTRACTING & NETWORK STRATEGY to join our ASPIRUS NETWORK, INC team!

The Vice President - Payor Contracting & Network Strategy provides strategic leadership, direction, and oversight of all reimbursement strategies for all payor contracts executed and managed on behalf of all ANI provider members.

Experience/Qualifications

• Knowledge of financial practices, business development, and health care insurance law normally acquired through completion of bachelor's degree in accounting, finance, business, or health care management.
• Master's degree in health care or business administration is preferred.
• A minimum of ten years' health care leadership, management, and other relevant health care experience.
• Superior knowledge and understanding of the managed care environment/conditions/trends, payor contracting and health insurance industry.
• Professional associations membership, certifications, etc. related to health care preferred.
• Well-developed planning, marketing, organizing and implementing business skills.
• Demonstrates strong knowledge of healthcare reference resources for information relevant to provider operations and compliance: CMS, CPT, HCPCS, CCI, payor and other references, manuals, etc.
• Demonstrates strong leadership capabilities with proven ability to make tough decisions, as well as the ability to influence and energize staff and ANI provider members and entities.
• Possesses excellent interpersonal skills, including written and verbal communication skills.
• Possesses excellent internal management skills evidenced by exercising a high degree of initiative, judgment, discretion, organization, and time management.
• Possesses a comprehensive knowledge and understanding of the managed care environment/conditions/trends, value-based payor contracts, payor operations, health insurance industry, provider networks and associated legal issues.
• Possesses a strong understanding of finance and health care reimbursement.
• Functions well under pressure and an expert at managing multiple priorities.
• Annual competencies as required by Aspirus and/or various regulatory agencies based on entity and/or job position.

Employee Benefits

• Full benefits packages available for part- and full-time status.
• PTO accrual from day one!
• Generous retirement plan with match available.
• Wellness program for employees and their families.

Our Mission: We heal people, promote health and strengthen communities.

Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.

As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.

Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information visit aspirus.org.