Vice President of Managed Care and Network Development

Birmingham, MI - USA

Monthly Salary: Not Disclosed

Posted on: 2 days ago

Vacancies: 1 Vacancy

Job Summary

Overview

NaphCarehas an excellent opportunity for aVice President of Managed Care and Network Developmentto join ourCorporate HeadquartersinBirmingham AL.

The Vice President of Managed Care and Network Development is responsible for overseeing all national health care contracting activities across NaphCares Jail Division Bureau of Prisons Division and State Department of Corrections Division. This role provides leadership for provider network development contract negotiations reimbursement strategies and departmental operations for a team of approximately 20 people.

NaphCare partners with correctional facilities to provide proactive patient-focused healthcare. We recognize that we serve a unique and diverse patient population and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare.

Responsibilities

Lead the team in evaluating negotiating and securing financially and administratively favorable contracts with new and existing community providers (hospitals and physician groups)
Develop and support managed care strategies and initiatives to adapt to ongoing healthcare payment reforms and Medicare and Medicaid payment methodologies.
Develop and foster effective collaboration between clinical departments divisions medical staff leadership and other affiliated services to ensure an integrated approach to providing services and fulfilling the organizations goals.
Oversee network development staff in the development of provider networks across all existing correctional contracts.
Oversee new network development for new RFP responses.
Perform periodic analyses of the provider network from a cost coverage and growth perspective.
Manage budgeting and forecasting initiatives for product lines to network costs and provider contracts.
Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations.
Ability to travel 10%.

Qualifications

Bachelors degree required with Masters/JD Degree preferred.
Minimum of 10 of experience in direct healthcare payor contract negotiations and a minimum of 7 years of operations and staff leadership/oversite.
Strong knowledge of Medicare reimbursement methodology including prospective payment systems and Part B.
Sound technology/software systems experience with good data analytic skill sets ability to automate processes with technology and advanced excel capabilities.
Ability to lead multiple teams manage multiple lines of business and execute complex projects concurrently
Strong communication and collaborative leadership skills.
Ability to motivate mentor and develop staff.
Strategic thinker with strong execution and organizational skills.

Physical Capabilities:

Must have the ability to stand for long periods lift and move patients (up to 50 pounds) bend squat reach push pull walk significant distances and perform physically demanding tasks like CPR all while maintaining good balance and endurance throughout a shift.

Why Join NaphCare

NaphCareis one of the largest providers of healthcare services to correctional facilities throughout the US and we are growing. If you have never considered a career in correctional healthcare now may be the time! In addition to competitive salaries and generous employee benefits we have opportunities for new graduates and experienced medical professionals promote educational growth andstrongly support career advancement within the company.

NaphCare Benefits for Full-Time Employees Include:

Health dental & vision insurance that starts day one!
Prescriptions free of charge through our health plan beginning day one
Lowest Cost Benefits!
Employee Assistance Program (EAP) services
401K and Roth with company contribution that starts day one!
Tuition Assistance
Referral bonuses
Term life insurance at no cost to the employee
Generous paid time off & paid holidays
Free continuing education and CMEs

If you would like to speak with me to learn more about this position and NaphCareapply directly to the position to initiate the application process and Ill be in touch.

Equal Opportunity Employer: disability/veteran

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Required Experience:

Exec

OverviewNaphCarehas an excellent opportunity for aVice President of Managed Care and Network Developmentto join ourCorporate HeadquartersinBirmingham AL.The Vice President of Managed Care and Network Development is responsible for overseeing all national health care contracting activities across Nap...