Remote VP of Network Management Managed Care (New Haven)

Compensation

: $112,650.00 - $187,750.00 /year *

Employment Type

: Full-Time

Industry

: Executive Management



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Remote VP of Network ManagementWill cover 6 states180k total Medicare and Medicaid membersMust have VP or Director experience managing teams in multiple states at one time We are searching for a VP of Network for a national health plan. The VP of Network will develop and implement a strategic plan for network services while providing direction into product development and operational improvements. Additionally the VP of Network will: Manage the network to meet the needs of the business unit, clients and members. Ensures unit cost targets are met. Assures long term mutually successful provider relationships.Directs all provider recruitment activities for national providers and provider vendors, including, free standing facilities like surgicenters, hospitals, and in-office providers.Act in lead role in negotiations with key providersManages network staff Provide guidance on fee schedule development, underwriting and unit cost trend management.Manages financials including control care cost trends and profitability Closely monitor ongoing provider performance changes in cost and utilization needs. Works collaboratively to support strategy for new products or product enhancement withDevelops and analyzes RFPs to support contracting initiatives.Requirements: Bachelor's degree in business, healthcare management or other applicable discipline, MBA preferred8+ years of progressive experience in healthcare management5+ years experience in health plan network managementExtensive experience managing complex health plan networks, including large hospital systemsTop leadership role in developing and managing a health plan network team. Strong working understanding of the national health care / health plan landscape
Associated topics: care, demand, fundraise, government, marketing, media, policy, principle gift, public, twitter * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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