VP Provider Relations - (US-NY-New York)

VP Provider Relations - (US-NY-New York)

Compensation: $150K - $160K / Year
Minimum Education: Bachelors
Job Type: Full Time
Jobcode: AJNJA2

If not you, would you know someone???  I will pay a finders' fee if you refer someone who is hired.

Lead all aspects of Provider Network Management to include provider network strategy, provider contracting, provider relations and operations to support provider service, network development, provider education, and product and market expansions. Responsibilities include the strategic analysis and negotiations for network management, including organizational management, complex contracting, and contracting efforts to support clients.

Provider Network Management includes all aspects of interaction with claim centers, Business Solutions, HCMS, QI and Service Center Operations. The Provider Relations VP may also work closely with our client or regulatory partners to achieve high level of compliance and customer satisfaction. It is further expected this leadership position is a key part of the health plan leadership team supporting important operational and leadership aspects of the health plan.

EDUCATION AND EXPERIENCE:
Required: College degree required.
Preferred: Advanced degree preferred
Years and Type of Experience
Required: Minimum ten (10) years experience in managed care, with minimum eight (8) years in managed care administration, and two (2) years in executive management.

Preferred:
Specific Technical Skills
Required:
• Demonstrated experience with team management and performance improvement.
• Strong understanding of the healthcare industry, managed care and health plan operations
Preferred:
• Experience leading a company or division with a distinct P and L is considered a positive.
• Experience with government programs preferred.
• Knowledge of Medicaid reimbursement methodologies is desired.
• Experience in large, complex negotiations and contracting efforts.
• Documented success in operational management.
• Ability to successfully interact with senior executives of the AGP organization as well as community Healthcare clinical professionals and business executives nationwide.
• Self starter and goal oriented.
• Computational and analytical skills related to Provider contracting and healthcare cost management.
• Ability to establish a strategic vision, set expectations and provide clear direction to individuals or departments being managed.
• Respect for and ability to work well with all levels within the organization and within the Provider community.
• Appreciation of cultural diversity and strong sensitivity towards target member population.
• Excellent communication, organizational and project management skills.
• Ability to prioritize and execute multiple complex projects in various markets simultaneously.
• Ability to complete projects/assignments accurately, on-time, on-budget and with a minimum amount of supervision.
• Understanding and appreciation of legal and regulatory environment relative to Provider Relations.
Certifications or Licensure
Required: Current driver’s license, and at minimum, state required amount of automobile insurance for state where automobile is licensed.

Email resume in Word to TheBigGameHunter@cisny.com. Please include the job code for the position with your resume.

NO RELOCATION. NO VISA TRANSFERS. NO OVERSEAS RESUMES. NO 3RD PARTIES.

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Jeff Altman, The Big Game Hunter
Concepts In Staffing
9 East 37 Street
New York, NY 10016