AVP, Institutional Contracting

BlueCross BlueShield of South Carolina•Columbia, SC

7d•Onsite

About The Position

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: As the AVP, Institutional Contracting, you will provide overall executive leadership and responsibility for the effective and efficient control of all functional operations of the Institutional Provider contracting area. In this role, you will be responsible for financial planning, budget control, and working with Actuarial to ensure that they are aware of the impact of the contracts negotiated. The highly analytical and influential leader that we seek will have a proven track record of successful managed care contract negotiations. In addition to having executive-level presentation skills, the AVP, Institutional Contracting will have a strong background in hospital reimbursement methodologies and analytics. In this position, you will represent our company with high standards of integrity.

Requirements

10+ years Health related or managed care industry work experience.
5 Years Management experience OR equivalent military experience in grade E4 or above (may be concurrent with the 10+ plus years)

Nice To Haves

Proven track record of successful managed care contract negotiations.
Highly analytical.
Strong ability to influence and negotiate.
Deep working knowledge of hospital reimbursement methodologies.
Executive-level presentation skills.
Exceptional knowledge of hospital contracting.

Responsibilities

Ensures effective and efficient contract performance, to include contractual performance standards, budget goals, cost containment and profit and revenue goals.
Formulates strategy for the contracting area to meet various line of business network needs.
Ensures that all contractual and/or corporate standards and requirements are met and all corporate guidelines are followed.
Establishes and maintains effective working relationships with all internal and external clients.
Maintains overall authority for the contract and/or business unit.
Directs, motivates and develops staff.