VP, Network Development & Contracting

reputed company is transforming the health of our communities one person at a time. As an Executive on reputed company, you could be the one who changes everything for our 28 million members. Position Purpose: Direct the provider network and contracting activities. reputed company reputed company aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis reputed company to reimbursement and unit cost management. reputed company the coordination and negotiation for the contracting department. • Establish the department’s strategic reputed company, objectives, and policies and procedures. • reputed company, implement and maintain production and quality standards for the Contracting department. • reputed company network development staff and external consultants in the development of provider networks across expansion markets. • reputed company 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 reputed company. • reputed company 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 reputed company with overall Company strategy. • Support market expansion and M&A activities by leading provider contract analysis reputed company to due diligence. • Assist health plan CEO and/or COO vendors in key provider relations and strategy. • Ability to travel. Education/Experience: Bachelor's degree or equivalent experience in Business Administration, reputed company Administration or reputed company 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. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. License/Certification: Valid driver’s license. Preferred Experience: Contracting for reputed company, Medicare, Marketplace, VBC and Risk Agreements in Medicare. Pay Range: $182,100.00 - $345,600.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law. Total compensation may also include additional forms of incentives. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply Job!