BlueCross BlueShield of South Carolina

AVP, Institutional Contracting

Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required.
  • 10+ years of experience in health-related or managed care industry.
  • 5 years of management experience or equivalent military experience (grade E4 or above).
  • Proven track record in managed care contract negotiations.
  • High analytical skills and strong ability to influence.

Responsibilities

  • Ensure contract performance meets established standards and goals.
  • Formulate strategies to meet various business line network needs.
  • Ensure compliance with corporate standards and guidelines.
  • Establish effective relationships with internal and external clients.
  • Maintain authority over contracts and business units.
  • Directly motivate and develop staff.

Benefits

  • Subsidized health plans, dental, and vision coverage.
  • 401k retirement savings plan with company match.
  • Life Insurance.
  • Paid Time Off (PTO).
  • On-site cafeterias and fitness centers at major locations.
  • Education Assistance.
  • Service Recognition programs.
  • National discounts for entertainment and experiences.
Full Job Description

Summary

Position Purpose:

As the AVP, Institutional Contracting, you will provide overall executive leadership and responsibility for the effective and efficient control of all functional operations of the Institutional Provider contracting area. In this role, you will be responsible for financial planning, budget control, and working with Actuarial to ensure that they are aware of the impact of the contracts negotiated.

The highly analytical and influential leader that we seek will have a proven track record of successful managed care contract negotiations. In addition to having executive-level presentation skills, the AVP, Institutional Contracting will have a strong background in hospital reimbursement methodologies and analytics. In this position, you will represent our company with high standards of integrity.
Description

Location: This position is full-time (40-hours/week) Monday-Friday working ONSITE at our 4101 Percival Road, Columbia, SC location.

What You’ll Do:

  • Ensures effective and efficient contract performance, to include contractual performance standards, budget goals, cost containment and profit and revenue goals.

  • Formulates strategy for the contracting area to meet various line of business network needs.

  • Ensures that all contractual and/or corporate standards and requirements are met and all corporate guidelines are followed.

  • Establishes and maintains effective working relationships with all internal and external clients.

  • Maintains overall authority for the contract and/or business unit.

  • Directs, motivates and develops staff.

To Qualify for This Position, You'll Need the Following:

  • Required Education: Bachelor's degree.

  • Required Experience:

    • 10+ years Health related or managed care industry work experience.

    • 5 Years Management experience OR equivalent military experience in grade E4 or above (may be concurrent with the 10+ plus years)

We Prefer That You Have The Following:

  • Proven track record of successful managed care contract negotiations.

  • Highly analytical.

  • Strong ability to influence and negotiate.

  • Deep working knowledge of hospital reimbursement methodologies.

  • Executive-level presentation skills.

  • Exceptional knowledge of hospital contracting.

Our comprehensive benefits package includes the following:

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. 

  • Subsidized health plans, dental and vision coverage

  • 401k retirement savings plan with company match

  • Life Insurance

  • Paid Time Off (PTO)

  • On-site cafeterias and fitness centers in major locations

  • Education Assistance

  • Service Recognition

  • National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You:

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with those candidates who are the most qualified, with prioritization given to those candidates who demonstrate the required qualifications.

About BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina is a health insurance company that provides coverage to over 5 million people in South Carolina and beyond. The company was founded in 1946 and is headquartered in Columbia, South Carolina. BlueCross BlueShield of South Carolina offers a variety of health insurance plans, including individual and family plans, Medicare plans, and employer-sponsored plans. The company is committed to improving the health of its members and the communities it serves, with initiatives focused on wellness, disease prevention, and access to care. BlueCross BlueShield of South Carolina is a subsidiary of the Blue Cross Blue Shield Association, a national federation of 36 independent, community-based and locally operated Blue Cross Blue Shield companies.
Learn more about BlueCross BlueShield of South Carolina
Size
12,000 employees
Industry

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