Divisional Vice President Network Management

Job ID: BDP-1019764 Description:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants.We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "my account" and click on "View your job submissions".

BASIC FUNCTION:

This position is responsible for directing a team for a specific region accountable for professional provider contracting and facility contracting as well as provider relations and value based care program implementation. This position is accountable for the development, implementation and management of network strategies including maintaining and improving current provider networks, developing new networks, achieving unit price targets, managing medical cost trend, and educating providers. Accountable for Network Management which includes Group, Government and Retail programs. This position is responsible for ensuring contracted network coverage and for oversight of management and staff who manage contracting operations.

JOB REQUIREMENTS:

  • Bachelor degree and 7 years experience in health care/insurance administration, hospital/health care contracting, and hospital/physician relations.
  • 5 years management experience at a director level including assisting in or responsible for development of strategies and initiatives.
  • Knowledge of hospital and provider reimbursement strategies and policies.
  • Clear and concise verbal and written communications skills including interpersonal skills to represent company to external entities, negotiate contracts, resolve issues, and prepare executive and employee presentations.
  • Leadership skills, team player, relationship building skills.
  • Experience working in a fast paced environment and meeting deadlines.
  • Accuracy and sound judgment with regard to financial matters such as contract performance and impact.
  • Negotiation skills. Experience negotiating large, complex hospital and physician group contracts.
  • Ability and willingness to travel.

PREFERRED JOB REQUIREMENTS:

  • MBA or Masters in Health Administration.

Requirements: Expertise Network Management / Provider Relations Job Type Full-Time Regular Location TX - Richardson


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