Associate Vice President of Managed Care

BHS

2d•Remote

About The Position

Baptist Health is looking for an Associate Vice President, Managed Care to join their Managed Care Department! This is a remote position with required residency in KY or IN. This position is responsible for developing and implementing a business development strategy for third-party payers, including Commercial, Medicare and Medicare Advantage, Medicaid and Medicaid MCOs, and/or any other assigned payer sector or program. This business development strategy will be implemented to support all business units within Baptist Health providing services reimbursable by third-party payers, including hospital, medical group, ambulatory surgery centers, and other ancillary services, or units not yet established by Baptist Health. This position’s primary focus will be on driving revenue for the company, developing partnerships with managed care organizations, capitalizing on the geographic scope of BHS and optimizing value propositions within the payer community. This role provides strategic leadership, financial and administrative oversight of contracting with third-party payers on behalf of system working directly with BHS leadership. Responsibilities include management of overall third-party relationships, establishing and achieving contracting goals and strategies, and negotiating and supporting all contracts with third-party payers for Baptist Health’s business units, as well as the Clinically Integrated Network (CIN) and ACO. Ensure that the privacy and confidentiality of patient information is maintained. Manage the facilitation and implementation of activities related to the privacy and security of protected health information (PHI). If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer. Founded in 1924 in Louisville, Kentucky, Baptist Health is a full-spectrum health system dedicated to improving the health of the communities it serves. The Baptist Health family consists of 10 hospitals, employed and independent physicians, and more than 470 points of care, including outpatient facilities, physician practices and services, urgent care clinics, outpatient diagnostic and surgery centers, home care, fitness centers, and occupational medicine and physical therapy clinics. Baptist Health’s eight owned hospitals include more than 2,300 licensed beds in Corbin, Elizabethtown, La Grange, Lexington, Louisville, Paducah, Richmond and New Albany, Indiana. Baptist Health also operates two joint venture hospitals: the 410-bed Baptist Health Deaconess Madisonville in Madisonville, Kentucky with Deaconess Health System based in Evansville, Indiana, and the Baptist Health Rehabilitation Hospital, a 40-bed inpatient rehabilitation facility with Encompass Health, based in Birmingham, Alabama. Baptist Health employs more than 24,000 people in Kentucky and surrounding states. Baptist Health is the first health system in the U.S. to have all of its hospitals recognized by the American Nursing Credentialing Center with either a Magnet® or Pathway to Excellence® designation for nursing excellence. Baptist Health’s employed provider network, Baptist Health Medical Group, has more than 1,820 employed providers offering care in 78 specialties, including approximately 862 physicians and 958 advanced practice clinicians. Baptist Health’s physician network also includes more than 2,000 independent physicians. EEO Statement: Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to race, color, national origin, gender, sexual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing. NOTICE OF NONDISCRIMINATION AND ACCESSIBILITY TO SERVICES Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056.

Requirements

Bachelor's Degree in Business Administration, Finance or health related field required.
10 years of experience within Managed Care with 3+ years of that experience in a leadership role
Proficiency in Excel and ability to be trained in and understand how to optimize large data applications such as Qlik and Strata
Direct experience with Medicare and other types of payment methodologies and understanding of ICD-10, DRG and CPT coding sufficient to perform job responsibilities
Strong analytical skills to process and understand large and complex sets of data

Nice To Haves

Master's level degree in Business Administration or health related field strongly preferred.

Responsibilities

developing and implementing a business development strategy for third-party payers
driving revenue for the company
developing partnerships with managed care organizations
capitalizing on the geographic scope of BHS
optimizing value propositions within the payer community
providing strategic leadership, financial and administrative oversight of contracting with third-party payers
management of overall third-party relationships
establishing and achieving contracting goals and strategies
negotiating and supporting all contracts with third-party payers for Baptist Health’s business units, as well as the Clinically Integrated Network (CIN) and ACO
ensuring that the privacy and confidentiality of patient information is maintained
managing the facilitation and implementation of activities related to the privacy and security of protected health information (PHI)