Vice President, Network Development & Contracting
At P3 HealthPartners, our promise is to guide our communities to better health, unburdenclinicians, align incentives and engage patients.
We are aphysician-led organization relentless in our mission to overcome all obstaclesby positively disrupting the business of health care, transforming it fromsickness care into wellness guidance.
We are lookingfor a Vice President, Network Development & Contracting. If you are passionate about your work; eagerto have fun; and motivated to be part of a fast-growing organization in LasVegas, Nevada, then you should consider joining our team.
Direct and/or support the provider network and contracting activities across all markets. Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management. Oversee the coordination and negotiation for the contracting department.
Establish the department’s strategic vision, objectives, and policies and procedures
Develop, implement and maintain production and quality standards for the contracting department
Oversee network development staff and external consultants in the development of provider networks across expansion market
Perform periodic analyses of the provider network from a cost, coverage, and growth perspective. Provide leadership in evaluating opportunities to expand or change the network to meet Company goals
Manage budgeting and forecasting initiatives for product lines to networks costs and provider contracts
Analyze claim trend data and/or market information to derive conclusions to support contract negotiations
Conduct periodic review of provider contracting rates to ensure strategic focus is on target with overall Company strategy
Maintain compliance with all health plan and governmental requirements and regulations.
Identify and implement a contract management system across the enterprise
Support market expansion and M&A activities by leading provider contract analysis related to due diligence and developing new markets
Assist Population Health Management Senior Leadership in key provider relations and strategy
Ability to travel
Education & Experience:
Bachelor's degree or equivalent experience in Business Administration, Healthcare Administration or related field. MBA or MHA degree preferred.
10+ years of experience in managed care network development and provider relations/contracting management in a hospital and/or managed care payor environment.
Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.