Vice President of Contracting – Health Plan Relations, Western Markets (Remote)

Vice President of Contracting – Health Plan Relations, Western Markets

Remote

AMSURG is a nationally recognized leader in the strategic and operational management of ambulatory surgery centers with medical specialties ranging from gastroenterology to ophthalmology and orthopedics. With more than 250 surgery centers across the U.S., we partner with physicians and health systems to deliver the highest standards of patient care and quality.  For more information, please access our website: https://www.amsurg.com/.

Through AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.

Position Summary

The Vice President of Contracting – Health Plan Relations, Western Markets  (“VP, Contracting”) manages a payer portfolio for contracting and strategy for AMSURG’s ambulatory surgery centers and Anesthesia groups throughout the Western U.S. Reporting to the Sr. VP, Health Plan Relations, the VP, Contracting advances enterprise key initiatives and new center integration, manages revenue growth, and develops strategic payer relationships while providing leadership to aligned department staff.  This role develops and ensures the execution of annual strategic payer plans within the portfolio, leads key payer negotiations, and directs a team of contractors to grow annual managed care revenue. This role will also develop staff skills for professional growth and retention; advance value based care initiatives and programs; and deliver on key priorities.         

Work Schedule: This role is offered on a fully remote basis allowing the VP, Contracting to be based anywhere in the country, though strong preference will be given to those residing in the Western half of the U.S.  Overnight and local travel of up to 25% is anticipated.

Essential Duties and Responsibilities

• Overall management of the Western division’s managed care portfolio, responsible for achieving defined growth targets and objectives
• Lead and direct a team of contractors to meet departmental and individual goals and objectives.
• Advance enterprise initiatives and integration by working cross functionally within the organization.
• Provide leadership to the integration of new joint ventures, affiliations, and partnership arrangements within the department and organization.
• Assess and review risks and opportunities across the enterprise related to payment reform, bundled payments, value-based payments, etc.
• Develop tools and techniques that advance pricing and rate objectives.
• Help establish and execute on contracting guidelines with respect to third party payer contractual terms, reimbursement, provider enrollment and product participation.
• Negotiate contractual and reimbursement terms with market payers.
• Conduct annual reviews of provider contracts.
• Analysis of trend data and/or market information needed to support contract negotiations.
• Review and present financial data, utilization trends, and patient mix needed to negotiate and re-negotiate payer contracts.
• Expand and maintain knowledge of payers, products, individual markets, and industry trends.
• Understand and stay abreast of issues and events that may have an impact on the business and industry.
• Work with the team on maintaining client satisfaction through internal and external communication.
• Identify contracting / payer disputes that may require intervention and/or action.
• Monitor state and federal legislation related to payment initiatives, and policy changes that could impact contracts and relationships with health plans.
• Travel overnight and locally as needed up to 25%.
• Other duties as assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required:

Education/Experience

• 11+ years’ experience as described to include supervisory experience, significant managed care contracting experience, and demonstrated ability in the areas of financial analysis, payment methodologies, contract language and negotiations.
• Bachelor’s degree required; Master’s degree preferred.

Other Qualifications

Able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner.  Able to work well with others with strong verbal and written communication skills.  Detail oriented and organized.  High integrity, including maintenance of confidential information.  Able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency.  Based on business need, the ability to work a flexible schedule, including some evenings. Must pass a background check and drug screen.

Benefits

At AMSURG, we offer benefits at the speed of your life. Our wide range of health and wellness benefits allow you to choose the right coverage for you and your family. Qualifying employees are eligible to enroll on the 1^st of the month, following 30 days of employment. AMSURG offers a variety of health and wellness benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.

Paid Time Off

AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position can earn a minimum of 20 days and up to 25 days per calendar year.

We are an Equal Opportunity Employer.

We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.

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