Vice President, Managed Care Contracting (UVM Health Network Department Internals Only)

Location
South Burlington, VT
Location and Address
Location Address: 40 IDX Drive, South Burlington Vermont
Building Name
Building Name: UVMMC - 40 IDX Drive
Department
High Value Care
Schedule Full Time / Regular
Standard Hours
40
Shift
Day (United States of America)
Primary Shift
Other
Weekend Needs
Other
Weekend Needs
Other
Recruiter
Rebecca Kapsalis
Job Requisition ID
R0031904

Job Description

Reporting to the SVP High Value Care with matrix reporting to the CFO of UVMHN, the VP of Managed Care Contracting will be responsible for assisting in the development and implementation of a UVMHN payer contracting strategy that enables the UVM Health Network and its ACO’s to succeed in a dynamic reimbursement environment. 

Transitioning from Fee for Service to Value Based contracts all while optimizing revenue requires the successful candidate to have substantial experience in managed care contracting, fee for service contracting and ACO contracting with a functional skill set in leading an contracting function that aligns payers, providers and care management in a highly matrixed environment. 
 

EDUCATION:

Masters degree in business, health care administration, finance, or related field required

Juris Doctor (JD) required
 

EXPERIENCE:

Minimum of 5 years of progressive responsibility in health plan experience and co health care environment 

Experience with Accountable Care Organization operations and government payer contracting

Experience conducting significant managed care payer negotiations
 
Analytic-minded leader with depth of experience in contract modeling and assessing financial implications of new contracting structures

Strong track record in conducting payer negotiations in collaboration with business and clinical leaders 
 
Ability to lead, work as a team member and manage in a matrixed environment

Possess understanding of emerging trends in value based contracting and payment innovation, such as physician compensation redesign, patient centered medical homes, bundled payments, and commercial, federal and state ACO programs.