Vice President, Network Development – Contracting

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

📋 Description

• Manage activities related to provider networks and contracting.

• Direct the strategy for provider networks, focusing on access analysis and operational efficiency.

• Assist decision-makers by providing analyses related to reimbursement and unit cost management.

• Supervise coordination and negotiations within the contracting department.

• Ensure the development of provider networks in markets targeted for expansion.

• Assess costs, coverage, and growth of provider networks, suggesting opportunities for expansion.

• Oversee budgeting and forecasting activities for network costs and provider contracts across product lines.

• Review contracting rates for providers to ensure alignment with the broader company strategy.

• Engage in initiatives related to unit costs and selective contracting.

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

• Develop, implement, and uphold standards for production and quality.

• Aid in market expansion and M&A efforts through the analysis of provider contracts for due diligence.

• Support the health plan CEO and/or COO in key provider relations and strategy initiatives.

• Carry out other assigned duties as necessary.

• Adhere to all established policies and standards.

⛳️ Requirements

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

• An MBA or MHA degree is preferred.

• Over 10 years of experience in network development, provider relations, or contracting management in a healthcare or managed care setting is required.

• Prior management experience, including responsibilities for hiring, training, task assignment, and performance management of staff.

• A valid driver's license is necessary.

• Equivalent experience gained through the successful execution of relevant duties and skills reflective of this role's level.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement assistance.

• Paid time off plus holidays.

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

• Additional incentives may be included in the total compensation package.

• Equal opportunity employer dedicated to promoting diversity.