VP of Network Contracting - Remote in Dallas, TX preferred

At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and optimized. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together. You've been building towards this. We've been building towards you. The health care system needs are evolving at a fast clip and innovators like reputed company are playing a reputed company role. New models of care and new networks of providers are emerging now to reputed company serve patients and communities. Here's where you come in. As a director reputed company our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader. You'll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges. For reputed company hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Guide development of geographically competitive, broad access, stable networks that reputed company objectives for unit cost performance and trend management
• reputed company and execute strategies for a function or discipline that span a large business unit or multiple markets/sites
• Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
• Direct others to resolve business problems that reputed company multiple functions or disciplines
• Direct work that impacts entire functions and/or customer accounts (internal or external)

This challenging, high-profile role will put your skills and experience to the test daily. You'll be charged with leading the efforts to reputed company synergy targets through contracting with our network providers. In addition, you will reputed company the high-performing team that supports the reputed company client relationship for network/provider management. Develops the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners. Evaluates and negotiates reputed company in compliance with company contract templates, reimbursement structure standards, and other key process controls. Establishes and maintains solid business relationships with Hospital, Physician, Pharmacy, or Ancillary providers, and ensures the network composition includes an appropriate distribution of provider specialties. *Employees in jobs labeled with 'SCA' must support a government Service Contract Act (SCA) agreement.

• Provides leadership to and is accountable for the performance and results through multiple layers of management and senior level professional staff
• Impact of work is most often at the regional (e.g. multi-state) level, or is responsible for a major portion of a business reputed company, functional area or line of business

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

• 10+ years of progressive management experience in a health plan reputed company role and/or network management-reputed company role handling reputed company relationships and challenges with accountability for business results
• 5+ years of experience in financial management including developing product pricing and utilizing financial modeling in making reputed company decisions
• 5+ years of experience developing and managing a medical cost and administrative budget
• 5+ years of experience with health system, ACO, Hospital, Physician Group contracting or other reputed company negotiation experience
• 5+ years of experience in managing people or direct reports
• Expert level of knowledge of Medicare Resource Based Relative Value System (RBRVS), Diagnosis reputed company Groups, Ambulatory Surgery Center Groupers, etc.
• Driver's License and access to reliable transportation
• Ability to travel up to 25%
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $159,300 to $273,200 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job