Vice President, Network Development – Contracting

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

📋 Description

• Lead activities related to provider network and contracting.

• Drive the provider network strategy, which includes access analysis, network operations, reimbursement analysis, and management of unit costs.

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

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

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

• Manage network development personnel and external consultants tasked with creating provider networks in expanding markets.

• Analyze provider networks from the perspectives of cost, coverage, and growth.

• Assess opportunities to broaden or modify the network in alignment with Company objectives.

• Oversee budgeting and forecasting initiatives concerning product-line network expenses and provider contracts.

• Direct the analysis of claims trend data and market insights to facilitate contract negotiations.

• Review provider contracting rates to ensure they align with the broader Company strategy.

• Aid in market expansion and M&A activities by analyzing provider contracts for due diligence.

• Support health plan CEOs and/or COOs, as well as vendors, in key provider relations and strategic planning.

• Willingness to travel up to 25%.

• Perform other assigned responsibilities and adhere to policies and standards.

⛳️ 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 within a healthcare and/or managed care setting is required.

• Prior management experience that includes hiring, training, assigning tasks, and overseeing staff performance.

• Equivalent experience obtained through relevant knowledge, duties, scope, and skills that reflect the position level.

• Ability to travel up to 25%.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plans.

• Tuition reimbursement program.

• Paid time off in addition to holidays.

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

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