VP Payer Contracting
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Job Location:
South Burlington, VT - USA
Monthly Salary:
Not Disclosed
Posted on:
16 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Summary:
The Vice President of Payer Contracting provides strategic and operational leadership for all payer contracting initiatives across the health system. This executive is responsible for developing negotiating and managing commercial and government payer agreements that align with the organizations high value care strategy operations and advances the organizations commitment to value-based care quality outcomes and financial sustainability. The VP will play a pivotal role in shaping payer partnerships that reward high-quality efficient care delivery and support the systems transformation toward risk-based and population health models. This includes leading contracting for hospitals physician enterprise and post-acute facilities within the health system.
Education:
Bachelors degree in business Healthcare Administration Finance or related field required. Masters degree (MBA MHA MPH or equivalent) is strongly preferred. Juris Doctor (JD) is required.
Experience:
10 years of progressive experience in managed care contracting within a health system integrated delivery network (IDN) or payer organization. Proven success in developing and negotiating value-based and risk-sharing contracts. Strong understanding of payer reimbursement methodologies population health models and alternative payment programs (e.g. ACOs bundled payments shared savings). Experience conducting significant managed care payer negotiations. Analytic-minded leader with depth of experience in contract modeling and assessing financial implications of new contracting structures. Possess understanding of emerging trends in value-based contracting and payment innovation such as physician compensation redesign patient centered medical homes bundled payments and commercial federal and state ACO programs.
Required Experience:
Exec
Key Skills
- Business Development
- Eclipse
- Economics
- Accounting
- Corporate Risk Management
- Brokerage
About Company
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