VP: Provider Contracting & Value-Based Partnerships

MetroPlusHealth; New York (NY); On-site; USD 180,000 - 260,000; Full time

Job summary

MetroPlusHealth in New York seeks a strategic leader to oversee Provider Contracting and Value-Based Partnerships. You will negotiate hospital and physician contracts, shape contracting strategy, and supervise a senior team across credentialing and data management.

Your role ensures cost-efficient, compliant provider networks while expanding our product lines and value-based care initiatives in a dynamic market.

Qualifications

• Bachelor's degree required in business, health care administration, or related field.
• 7–10 years of senior management contracting experience, with 5+ years in NY managed care.
• Proven ability to meet goals through collaboration with executive leadership.

Responsibilities

• Negotiate contracts and manage relationships with hospitals, IPAs, ambulatory centers, and physician groups.
• Develop short- and long-term network and contracting strategies for the Plan.
• Oversee end-to-end contracting processes including outreach and provider terminations.
• Develop Value Based Payment strategy with key provider partners.
• Oversee Credentialing and Credentialing Department.
• Coordinate with Provider Data Management, Provider Maintenance, SIU, and Legal departments.
• Ensure reimbursement is competitive and identify cost-saving opportunities.
• Manage both Physical and Behavioral Health provider networks and ensure regulatory compliance.
• Drive network development as MetroPlusHealth expands into new lines of business.
• Lead rate development discussions with Finance and Analytics teams.
• Monitor contract terms and supplier performance; support cross-department proposals.
• Guide marketing and provider relations initiatives to promote membership growth.

Skills

Contracting Leadership

Negotiation

Provider Network Strategy

Budget & Analytics

Regulatory Compliance

Team Leadership

Relationship Management

Education

Bachelor's Degree in Business, Health Care Administration, or related field

Job description

MetroPlusHealth in New York seeks a strategic leader to oversee Provider Contracting and Value-Based Partnerships. You will negotiate hospital and physician contracts, shape contracting strategy, and supervise a senior team across credentialing and data management.

Your role ensures cost-efficient, compliant provider networks while expanding our product lines and value-based care initiatives in a dynamic market.