Pennsylvania Medicine

Director of Network and Payer Alignment (Remote) -3535 Market Street

Pennsylvania Medicine$120K — $150K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Arts or Science
  • 10+ years of Managed Care management experience
  • 4+ years in Provider Value Based Healthcare Contracting
  • Master's degree in Arts or Science preferred
  • 8+ years of experience in Managed Care Contracting management preferred
  • 5+ years in provider, network, and payer Value Based Healthcare Contracting preferred

Responsibilities

  • Lead coordination of Penn Medicine provider networks for value-based care
  • Manage maintenance and integrity of healthcare networks
  • Oversee the MCPR strategic leadership for deploying Epic Payer Platform
  • Supervise Value and Physician contracting staff
  • Handle daily financial operations of the CIN at Lancaster General Health

Benefits

  • Comprehensive compensation and benefits program
  • Prepaid tuition assistance program
  • Employee engagement in Penn Medicine's mission
  • Support for employee health and well-being
Full Job Description
(Remote)

*expectations for in-person meetings on an as-need basis*
  • The Director of Network and Payer Alignment is the Managed Care and Payor Relations (MCPR) leader responsible for system-wide coordination of Penn Medicine provider networks in our value-based or Clinically Integrated Networks (CIN) or unique payer network arrangements. This includes responsibility for the maintenance and integrity of these networks and the MCPR strategic leadership associated with the system-wide deployment of Epic Payer Platform, Epic Community Connect and other integration tools designed to optimize performance of these networks.
    The role includes the supervision and management of Value and Physician contracting staff at Lancaster General working closely with the Regional Managed Care Director. The role also includes oversight of the day-to-day financial operations of the CIN associated with Lancaster General Health.

Responsibilities:
Credentials:
Education or Equivalent Experience:
  • Bachelor of Arts or Science (Required)
  • And 10+ years of demonstrated Managed Care managerial experience with 4+ years' experience in Provider Value Based Healthcare Contracting required.
  • Master of Arts or Science
  • Or 8 +years of demonstrated Managed Care Contracting managerial experience with 5+ years' experience in provider, network, and payer Value Based Healthcare Contracting preferred.
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

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About Pennsylvania Medicine

The University of Pennsylvania is a private Ivy League research university in Philadelphia. It is the fourth-oldest institution of higher education in the United States and is ranked among the highest-regarded universities by numerous organizations and scholars. While the university dates its founding to 1740, it was created by Benjamin Franklin and leading Philadelphia citizens in 1749 . The University has four undergraduate schools as well as twelve graduate and professional schools. Schools enrolling undergraduates include the College of Arts and Sciences, the School of Engineering and Applied Science, the Wharton School, and the School of Nursing. Among its highly ranked graduate schools are its law school, whose first professor wrote the first draft of the United States Constitution, its medical school, the first in North America, and Wharton, the first collegiate business school. Penn's endowment is US$20.7 billion, putting it amongst the wealthiest academic institutions in the world, and its 2019 research budget was $1.02 billion. Penn was one of nine colonial colleges chartered before the U.S. Declaration of Independence when Benjamin Franklin, the university's founder and first president, advocated for an educational institution that trained leaders in academia, commerce, and public service. The campus, in the University City neighborhood of Philadelphia, is centered around College Hall, and notable landmarks are Houston Hall, the first modern "student union", and Franklin Field, the first double-decker college football stadium. Penn also is the home of the Morris Arboretum, the official arboretum of the Commonwealth of Pennsylvania, which is located 15 miles northwest of the campus, in the Chestnut Hill section of Philadelphia. The university's athletics program, the Quakers, fields varsity teams in 33 sports as a member of the NCAA Division I Ivy League conference.
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