Vice-President, Provider Network Contracting
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Job description
Experteer Overview In this Director role, you guide the development and support of provider networks and unit-cost management through pricing modeling, analysis, and reporting. You will set strategy across a large unit or multiple markets, coordinating efforts in a matrixed organization to achieve network cost and quality objectives. The role focuses on improving access, cost efficiency, and network performance in Iowa, with a fast-paced, high-impact environment. You will shape pricing approaches and network configurations to drive measurable outcomes and cross-functional collaboration. Compensation / Benefits * Guide development of geographically competitive, broad access, stable networks with objectives for unit cost performance and trend management * Develop and execute strategies for a function spanning a large business unit or multiple markets/sites * Apply network configuration and incentive-based payment models to improve quality and efficiency * Direct others to resolve business problems affecting multiple functions or disciplines * Direct work impacting entire functions and/or customer accounts (internal or external) * Operate in a matrixed, fast-paced environment with cross-functional alignment to achieve results Tasks * 8+ years of management experience in a network management-related role with accountability for business results * 5+ years of experience developing product pricing and utilizing financial modeling for rate decisions * 5+ years of experience with provider contracting * 3+ years of experience developing and managing a medical cost and administrative budget * Expert knowledge of Medicare RBRVS, Diagnosis Related Groups, Ambulatory Surgery Center Groups, etc. Key requirements * comprehensive benefits package * incentive and recognition programs * equity stock purchase * 401k contribution
Requirements
stock problems affecting multiple functions or disciplines * Direct work impacting entire functions and/or customer accounts (internal or external) * Operate in a matrixed, fast-paced environment with cross-functional alignment to achieve results Tasks * 8+ years of management experience in a network management-related role with accountability for business results * 5+ years of experience developing product pricing and utilizing financial modeling for rate decisions * 5+ years of experience with provider contracting * 3+ years of experience developing and managing a medical cost and administrative budget * Expert knowledge of Medicare RBRVS, Diagnosis Related Groups, Ambulatory Surgery Center Groups, etc. Key requirements * comprehensive benefits package * incentive and recognition programs * equity stock purchase * 401k contribution
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