Full Job Description
The Vice President - Payor Contracting & Network Strategy provides strategic leadership, direction, and oversight of all reimbursement strategies for all payor contracts executed and managed on behalf of all ANI provider members.
Experience/Qualifications
• Knowledge of financial practices, business development, and health care insurance law normally acquired through completion of bachelor's degree in accounting, finance, business, or health care management.
• Master's degree in health care or business administration is preferred.
• A minimum of ten years' health care leadership, management, and other relevant health care experience.
• Superior knowledge and understanding of the managed care environment/conditions/trends, payor contracting and health insurance industry.
• Professional associations membership, certifications, etc. related to health care preferred.
• Well-developed planning, marketing, organizing and implementing business skills.
• Demonstrates strong knowledge of healthcare reference resources for information relevant to provider operations and compliance: CMS, CPT, HCPCS, CCI, payor and other references, manuals, etc.
• Demonstrates strong leadership capabilities with proven ability to make tough decisions, as well as the ability to influence and energize staff and ANI provider members and entities.
• Possesses excellent interpersonal skills, including written and verbal communication skills.
• Possesses excellent internal management skills evidenced by exercising a high degree of initiative, judgment, discretion, organization, and time management.
• Possesses a comprehensive knowledge and understanding of the managed care environment/conditions/trends, value-based payor contracts, payor operations, health insurance industry, provider networks and associated legal issues.
• Possesses a strong understanding of finance and health care reimbursement.
• Functions well under pressure and an expert at managing multiple priorities.
• Annual competencies as required by Aspirus and/or various regulatory agencies based on entity and/or job position.
Employee Benefits
• Full benefits packages available for part- and full-time status.
• PTO accrual from day one!
• Generous retirement plan with match available.
• Wellness program for employees and their families.