7 ΡΠ°ΡΠΎΠ² Π½Π°Π·Π°Π΄
Vice President, Network Strategy & Management Value-Based Contracting (Healthcare)
207Β 000 - 392Β 100$
ΠΡΡΡ & Π‘ΠΎΠΏΡΠΎΠ²ΠΎΠ΄
ΠΠ»Ρ ΠΌΡΡΡΠ° Ρ ΡΡΠΎΠΉ Π²Π°ΠΊΠ°Π½ΡΠΈΠ΅ΠΉ Π½ΡΠΆΠ΅Π½ Plus
ΠΠΏΠΈΡΠ°Π½ΠΈΠ΅ Π²Π°ΠΊΠ°Π½ΡΠΈΠΈ
Π’Π΅ΠΊΡΡ:
TL;DR
Vice President, Network Strategy & Management Value-Based Contracting (Healthcare): Developing and managing provider network strategy, reimbursement, contracting, unit costs, claims configuration, and network operations with an accent on multi-market managed care and value-based contracting. Focus on analyzing provider networks and claims trends, building fee schedules, supporting market expansion and M&A due diligence, and leading complex negotiations across Medicaid, Medicare, and commercial markets.
Location: Remote anywhere in the Continental United States; ability to travel required.
Salary: $207,000β$392,100 per year
Company
connects people to healthcare services and works to make care more accessible and effective.
What you will do
- Develop and manage provider network strategy, including reimbursement, contracting, unit cost management, claims configuration, and network operations.
- Oversee network development staff and external consultants across expansion markets.
- Lead cost, coverage, growth, and network expansion analyses for health plans.
- Manage budgeting and forecasting for network costs and provider contracts.
- Analyze claims trends and market data to support contract negotiations and rate reviews.
- Lead fee schedule development, market expansion and M&A contract analysis, and strategic negotiations with health plan, legal, finance, and business development stakeholders.
Requirements
- Bachelorβs degree in business administration, healthcare administration, or a related field.
- 10+ years of experience in managed care network development.
- 3+ years of experience in government programs.
- Experience managing staff, including hiring, training, workload, and performance management.
- Valid driverβs license.
- Must be able to work remotely from within the Continental United States and travel as required.
Nice to have
- MBA or MHA degree.
- Experience leading large-scale, multi-market value-based contracting programs across Medicaid, Medicare, including MA/D-SNP, and/or commercial markets.
Culture & Benefits
- Health insurance and comprehensive employee benefits.
- 401(k) and stock purchase plans.
- Tuition reimbursement.
- Paid time off and holidays.
- Flexible remote, hybrid, field, or office work schedules.
- Equal opportunity workplace committed to diversity.
ΠΡΠ΄ΡΡΠ΅ ΠΎΡΡΠΎΡΠΎΠΆΠ½Ρ: Π΅ΡΠ»ΠΈ ΡΠ°Π±ΠΎΡΠΎΠ΄Π°ΡΠ΅Π»Ρ ΠΏΡΠΎΡΠΈΡ Π²ΠΎΠΉΡΠΈ Π² ΠΈΡ ΡΠΈΡΡΠ΅ΠΌΡ, ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΡ iCloud/Google, ΠΏΡΠΈΡΠ»Π°ΡΡ ΠΊΠΎΠ΄/ΠΏΠ°ΡΠΎΠ»Ρ, Π·Π°ΠΏΡΡΡΠΈΡΡ ΠΊΠΎΠ΄/ΠΠ, Π½Π΅ Π΄Π΅Π»Π°ΠΉΡΠ΅ ΡΡΠΎΠ³ΠΎ - ΡΡΠΎ ΠΌΠΎΡΠ΅Π½Π½ΠΈΠΊΠΈ. ΠΠ±ΡΠ·Π°ΡΠ΅Π»ΡΠ½ΠΎ ΠΆΠΌΠΈΡΠ΅ "ΠΠΎΠΆΠ°Π»ΠΎΠ²Π°ΡΡΡΡ" ΠΈΠ»ΠΈ ΠΏΠΈΡΠΈΡΠ΅ Π² ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΡ. ΠΠΎΠ΄ΡΠΎΠ±Π½Π΅Π΅ Π² Π³Π°ΠΉΠ΄Π΅ β