Vice President, Network Development – Contracting

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Direct the activities related to the provider network and contracting.

• Oversee all facets of provider network strategy, which includes access analysis and network operations.

• Assist decision-makers with analyses pertaining to reimbursement and unit cost management.

• Supervise the coordination and negotiation efforts of the contracting department.

• Define the strategic vision, objectives, and policies and procedures for the department.

• Create, implement, and uphold production and quality standards for the Contracting department.

• Manage network development personnel and external consultants in building provider networks in expanding markets.

• Conduct regular analyses of the provider network focusing on cost, coverage, and growth metrics.

• Provide leadership in assessing opportunities to expand or modify the network to align with Company objectives.

• Administer budgeting and forecasting initiatives related to network costs and provider contracts for product lines.

• Supervise the analysis of claims trend data and/or market insights to draw conclusions that support contract negotiations.

• Perform periodic reviews of provider contracting rates to ensure alignment with the overall Company strategy.

• Facilitate market expansion and M&A efforts by leading provider contract analyses during due diligence.

• Assist the health plan CEO and/or COO vendors in critical provider relations and strategic planning.

• Willingness to travel.

⛳️ Requirements

• A Bachelor's Degree or equivalent experience in Business Administration, Healthcare Administration, or a related field is required.

• An MBA or MHA degree is preferred.

• A minimum of 10 years of experience in managed care network development and provider relations/contracting management in a healthcare and/or managed care setting is required.

• Prior management experience, including responsibilities for hiring, training, assigning tasks, and managing staff performance.

🏝️ Benefits

• Competitive pay.

• Health insurance.

• 401K and stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work arrangements, including remote, hybrid, field, or office schedules.