VP, Network Development – Contracting

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

📋 Description

• Manage provider network and contracting operations.

• Direct the strategy for provider networks, which includes access analysis and network management.

• Aid decision-makers in analyzing reimbursement and unit cost management.

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

• Assess information to facilitate contract negotiations.

• Ensure the establishment of provider networks in expanding markets.

• Analyze costs, coverage, and growth of the provider network and suggest expansion opportunities.

• Oversee budgeting and forecasting for product-line network expenses and provider agreements.

• Review provider contracting rates to ensure alignment with company objectives.

• Engage in unit cost and selective contracting initiatives.

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

• Create, implement, and uphold production and quality standards.

• Facilitate market expansion and M&A efforts through provider contract evaluations for due diligence.

• Support the health plan's CEO and/or COO with key provider relations and strategic initiatives.

• Execute other assigned responsibilities.

• Adhere to all company policies and standards.

⛳️ Requirements

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

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

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

• Equivalent experience gained through relevant knowledge, responsibilities, and skills that reflect the position level may qualify.

• Preferred experience in contracting for Medicaid, Medicare, and Marketplace business lines covering the Florida market.

• A valid driver's license is required.

• An MBA or MHA degree is preferred.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• 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 overall compensation package.

• Commitment to equal opportunity employment.

• Consideration for qualified applicants with arrest or conviction records in accordance with applicable laws.