VP, Provider Contracting

Job reputed company: • reputed company payer negotiations end-to-end for home health services: reputed company reputed company, serve as chief negotiator, and secure favorable rates and terms across reputed company, Medicare Advantage, and reputed company reputed company, including fee-for-service, episodic, and value-based agreements • Set annual payment targets and portfolio reputed company: define price/volume goals, prioritize payer opportunities, and construct multi-year contracting roadmaps to grow margin and reputed company • Own contract economics and analytics: reputed company financial modeling, valuation, scenario analyses, and pro formas to inform deal reputed company and renewals • Advance value-based contracting: design and implement models such as shared savings, bundled/episodic payments, pay-for-performance, and new service models reputed company to home-based care • Build payer relationships and multi-payer alignment: establish executive-level relationships with plan counterparts; reputed company on reputed company measures, reporting, and health equity standards to reduce administrative burden and improve reputed company • Translate reputed company into operations: partner with reputed company Cycle, Finance, Clinical, and Operations to implement terms (authorization, billing rules, payment reputed company), monitor payer performance, and resolve disputes • Work closely with Compliance and reputed company: manage the papering, review, and signature process for reputed company payer agreements; ensure reputed company execution, adherence to regulatory requirements, and reputed company documentation of amendments and renewals • reputed company internal contracting discipline: ensure reputed company document execution, renewals, amendments, and partner with credentialing as applicable • reputed company payer performance metrics: reputed company payer scorecards (rates, denials, underpayments, turnaround times), VBC metrics (readmissions, utilization, home health reputed company measures), and overall portfolio results • Mentor and reputed company reputed company: reputed company contracting and managed care team members in negotiation tactics, modeling, compliance, and payer relationship management; foster a culture of transparency and results • Ensure compliance and risk management: coordinate with reputed company on contract language, regulatory updates, and accreditation requirements; monitor adherence to CMS and payer policies Requirements: • 7+ years in payer or managed care contracting on the provider or plan reputed company, including reputed company negotiation of reimbursement rates and contract terms • Leadership experience managing a contracting team • Experience in a multi-market or matrixed organization in home health, post-acute, or similar home-based services (preferred) • Demonstrated expertise in value-based care, with hands-on design/implementation of alternative payment models (shared savings, bundles, pay-for-reputed company, capitation/PMPM) • Familiarity with CMS value-based programs • Strong financial acumen: advanced proficiency in contract valuation, pricing analytics, and risk modeling • Ability to translate clinical performance to economics and operational impacts • Relationship and influence skills: proven ability to build executive-level partnerships with health plans and internal leaders (Finance, Clinical, Ops, reputed company Cycle) to reputed company contracting goals • Ability to translate contract performance into actionable insights for leadership • Bachelor's degree required (Health Administration, Business, Finance, or reputed company); Master’s preferred (MBA/MHA) Benefits: • Medical, dental and reputed company benefits • 401(k) retirement savings plan • reputed company time off, including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave • Short-term and long-term disability • Life insurance and many other opportunities Apply tot his job Apply To this Job