VP of Payer Contracting

Millennium Physician Group is seeking to hire a FullTime VP of Payer Contracting to join our team. We are looking for a candidate who is positive energetic wellorganized can multitask and think outside of the box. We want someone who supports our top initiative of ensuring an excellent patient experience!

This position earns competitive compensation plus a full benefits package including 401(k) with match and 3 weeks of PTO! We also offer opportunities for growth as well as a great team atmosphere that empowers you to seek better ways to deliver service and take ownership of outcomes in providing quality service and support.

Reporting to the Chief Value Based Officer the VP of Payer Contracting will lead the development and of a comprehensive payer contracting strategy across all payers and all lines of business working with executive leadership to assure that Millennium Physician Groups payer contracts support the achievement of the overall organizational financial and operating goals.

They will manage the responsibility of contracting with all payers including contracts for valuebased arrangements(VBA) and traditional feeforservice (FFS) contracts and coordinating the contract terms with the applicable departments for implementation of all contracts. This role will help in identifying and prioritizing payer relationships assessing risk profiles and negotiating optimal riskbased contracts with health plans including contract review negotiation of terms and strategic positioning. They will be responsible for negotiating contracts for related entities such as Millennium Home Health and the ambulatory surgery center(s).

This individual in conjunction with the finance and valuebased finance areas will lead the development of pricing strategies reimbursement terms and contract modeling to offer indepth understanding of managed care contract policies and value for contracts through pre and postimplementation. Additionally they will lead in the development of valuebased care strategies and initiatives to assess valuebased payment models evolving healthcare payment reforms and payment methodologies. They will collaborate across the organization to develop and implement value propositions and own the responsibility to identify and prioritize the strategic initiatives related to healthcare economics and contract compliance ensuring those are delivered.

They will also coordinate and build consensus with key stakeholders for developing Millenniums analytics and reporting functions specifically to support payer contract evaluation and negotiations reimbursement projections pricing strategy and contract performance and optimization along with contract compliance across the entire MPG payer portfolio.

Given Millenniums growth trajectory contracting activities will accelerate substantially in volume financial impact and complexity so this role is ideal for a candidate who thrives in a complex fastpaced environment.

Position Responsibilities: (and other duties as assigned)

• Responsible for both leading and supporting payer negotiations with an emphasis on building strong collaborative payer relationships that support innovative reimbursement structures to advance the best interest of high quality affordable patient care.
• Provide strategic leadership regarding valuebased and feeforservice contracting initiatives.
• Lead all contracting functions of the organization as well as continued development of a portfolio to support the growth the organization.
• Lead the negotiation and oversight of provider contracting in conjunction with Millennium Home Health and contracting for the ambulatory surgery center(s)along with any newly develop ambulatory services.
• Partner with Executive leadership to devise payer strategies that align with organizational goals including market access and financial strength including evaluation and initiation of new MPG contract opportunities business models and payers relationships.
• Advance Millenniums feeforservice payment strategy through optimization of existing contracts and development of new reimbursement models.
• Advise the Executive leadership team on emerging trends and methodologies in managed care contracting payor relations and legal issues.
• Apply current knowledge and understanding of regulations industry trends current best practices new developments and applicable laws to ensure operational and financial effectiveness.
• Develop implement and maintain production and quality standards for the payer contracting department.
• Work closely with health analytics team to define performance outcome and tracking.
• Form strong collaborative working relationships across multiple payer organizations to advance innovative reimbursement arrangements that support advancement of quality and affordability of care.
• Develop and maintain contract summaries including performance targets and measures of matrix timelines contract requirements and deadlines.
• Monitor and manage payer compliance issues including rosters assignment reports delivery dates fees audits.
• Monitor and analyze changes in payer feeforservice programs and policies that may affect contract performance and initiate negotiations as warranted.
• Ensure coordination of any credentialing or request for information requirements for new FFS or VBA initiatives.
• Participate in and report to Executive leadership groups; provide support for these meetings and assist with FFS and VBA contract material preparation and presentation.
• Create strategic alliances with internal and external groups to maximize member and payer relations and all payer contract performance.

Position Qualifications:

• Bachelors degree in Health Care Administration Business Economics or a related field is required. MBA MHA preferred.
• Ten or more 10 years of experience in contract negotiations preferably within provider and/or payer settings with at least five or more 5 years of experience or knowledge of managed care healthcare economics managed care pricing product/network development or management.
• A minimum of five 5 years successful leadership/management experience. Leadership skills inclusive of ability to build highperforming teams and to provide coaching and mentorship of future talent.
• Demonstrated track record of building strong working relationships across operational leaders and potential payer partners.
• Strong understanding of Medicare reimbursement Medicare Advantage health plan economics and valuebased and contracting models including legal and regulatory considerations.

• Demonstrated success negotiating valuebased contracts with various health plans or for various health plans using a diverse range of techniques.
• Experience driving discipline consistency and of standardized initiatives and best practices. Ability to facilitate mechanisms to utilize pilots measure results and ultimately identify best practices to be used across the healthcare system.

For more information about this opportunity please see the full job description.

ABOUT MILLENNIUM PHYSICIAN GROUP

Formed in 2008 Millennium Physician Group has grown into one of the largest comprehensive primary care practices with more than 400 health care providers located throughout Florida. With corporate headquarters in Fort Myers Florida Millennium Physician Group consists of primary care offices Imaging Centers Lab Services and Wellness Programs. You can also find various programs such as weight management and smoking cessation led by Millennium Physician Group doctors.

Millennium Physician Group is proud to be an Equal Opportunity Employer and a DrugFree Workplace. Additionally Millennium is proud to join the nearly 3000 health system and physician groups who have gone completely Tobacco Free.

ARE YOU READY TO JOIN OUR TEAM If you feel that you would be right for this position please click the link to apply today. We look forward to meeting you!

Required Experience:

Exec