Job Description

Job Title: Network Development and Contracting Vice President
Job Location: Kansas


  • 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
  • Support market expansion and M&A activities by leading provider contract analysis related to due diligence
  • Assist health plan CEO and/or COO vendors in key provider relations and strategy

Required Qualifications:

  • Bachelor's degree or equivalent experience in Business Administration, Healthcare Administration, or related field
  • Ten+ 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
  • Valid driver’s license

Preferred Qualifications:

  • Master of Business Administration or Master of Health Administration degree is preferred

QBH#: 2019

Application Instructions

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