Vice President, Network Development & Contracting

Apply for this Position

Application Form     (* indicates required field)

Please attach the following files

Please upload either a word or PDF version of your cover letter for this position.
Please upload either a word or PDF version of your current resume.
Such as letters of recommendation, work examples, etc.

You will receive confirmation after we have received your application.

People.Passion. Purpose. 

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.

Overall Purpose:

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.

Essential Functions:

  • 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.

 

Location: Las Vegas, NV
Apply for this Position
Apply at: https://pinnacle-health-group-holdings-llc.prismhr-hire.com/job/90120/vice-president-network-development-contracting