Network Development & Contracting VP-Managed Care

Location: Las Vegas, NM
Date Posted: 04-30-2018
Position Purpose:
Direct the provider network and contracting activities. Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management. Oversee the coordination and negotiation for the contracting department.Establish the department’s strategic vision, objectives, and policies and procedures. Develop, implement and maintain production and quality standards for the Contracting department.Oversee network development staff and external consultants in the development of provider networks across expansion markets.Perform periodic analyses of the provider network from a cost, coverage, and growth perspective. Provide leadership in evaluating opportunities to expand or change the network to meet Company goals.Manage budgeting and forecasting initiatives for product lines to networks costs and provider contracts.Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations.Conduct periodic review of provider contracting rates to ensure strategic focus is on target with overall Company strategy.
 
Qualifications:
Education/Experience: Bachelor's degree or equivalent experience in Business Administration, Healthcare Administration or related field. MBA or MHA degree preferred. 10+ years of experience in managed care network development and provider relations/contracting management in a health care and/or managed care environment.  
Very competitive salary and benefits!
Great company to work for!
Full relocation package is available!
Don't miss out! Apply now and we'll be in touch immediately with more specific details, salary information and to answer any questions!!

This position does NOT provide sponsorship so please do NOT apply if you require sponsorship.  Thank You

KP Recruiting Group 
"Bringing Talent to the Marketplace"

KP Recruiting Group is a well established and very respected recruiting firm.  We have built a strong reputation as a premier resource for providing highly qualified candidates for our clients.  We are very experienced in many industries and have a wide range of clients.  We will serve as your advocate during your career search!  Let us do the work for you!  There is never a fee for our services!



 
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