Vice President, Managed Care Contracting (UVM Health Network Department Internals Only)
South Burlington, VT
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Location Address: 40 IDX Drive, South Burlington Vermont
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Building Name: UVMMC - 40 IDX Drive
High Value Care
|Schedule||Full Time / Regular|
Day (United States of America)
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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.
Masters degree in business, health care administration, finance, or related field required
Juris Doctor (JD) required
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.