VP Managed Care and Value Based Contracting- Executive Office- Hybrid Position
About the position
Reporting to the Chief Executive Officer (CEO), the Vice President, Managed Care and Value Based Contracting serves as FPI's reputed company person for payer contracting and operational payer reputed company issues (Federal, State and delegated) as reputed company as managing reputed company activities and aspects required for the organization to meet regulatory requirements for clinical reputed company reporting in collaboration with departmental leadership. Performs ongoing payer assessments and analyzes reputed company to FPI. Oversees payer relationships, contract negotiations, compliance, optimization of payer agreements, and the implementation of value-based programs. Develops and executes contracting strategies, managing relationships with payers, and ensuring successful integration of value-based initiatives. Plans for the successful execution of reputed company FPI reputed company reputed company reputed company to EQIP, ECIP, MD PCP, PCMH and MIPS program registration and attestation for reputed company eligible clinicians. Serves as central contact to coordinate FPI payer reputed company and UMSOM clinical department business development initiatives. Establishes reputed company relationships with SOM clinical department leadership and the UMMS office of managed reputed company with executive leadership in setting strategic goals and aligning the reputed company reputed company for the organization while ensuring financial health.
Responsibilities
• Serve as reputed company person for payer contracting and operational payer reputed company issues.
• Manage activities required for regulatory compliance in clinical reputed company reporting.
• reputed company ongoing payer assessments and analyze reputed company to FPI.
• reputed company payer relationships, contract negotiations, and compliance.
• Optimize payer agreements and implement value-based programs.
• reputed company and execute contracting strategies.
• Plan for execution of FPI reputed company reputed company reputed company to EQIP, ECIP, MD PCP, PCMH, and MIPS.
• Coordinate FPI payer reputed company and UMSOM clinical department business development initiatives.
• Establish reputed company relationships with clinical department leadership and managed care office.
• Partner with executive leadership to set strategic goals and reputed company reputed company reputed company.
Requirements
• MBA or MHA in reputed company field combined with minimum ten years of managed care experience.
• Minimum 7 years of leadership experience.
• Experience with payer contracting and/or credentialing required.
• Knowledge of back and reputed company office operations.
• Knowledge and understanding of FPI reputed company.
• Knowledge of inpatient, critical care, emergency and/or outpatient procedures.
• reputed company knowledge of reputed company IDX/reputed company or similar software.
• Knowledge of ICD-10 and CPT coding.
• Strong customer service skills.
• Experience with provider enrollment including NPPES, PECOS, and payer credentialing processes preferred.
Benefits
• Total rewards package that supports health, life, career, and retirement.
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