AVP, Institutional Contracting

BlueCross BlueShield of South Carolina•Columbia, SC

12d•Onsite

About The Position

The AVP, Institutional Contracting provides executive leadership and responsibility for the effective and efficient control of the Institutional Provider contracting area. The role oversees financial planning and budget control and works with Actuarial to communicate the impact of negotiated contracts. The position represents the company with high standards of integrity and requires a strong background in hospital reimbursement methodologies and analytics, along with executive-level presentation skills and a record of successful managed care contract negotiations. This full-time position is based onsite at 4101 Percival Road in Columbia, South Carolina, and works Monday through Friday for 40 hours per week. The AVP ensures effective contract performance and directs, motivates, and develops staff.

Requirements

Bachelor's degree.
10 or more years of health-related or managed care industry work experience.
Five years of management experience, or equivalent military experience in grade E4 or above; this experience may be concurrent with the 10 or more years of industry experience.

Nice To Haves

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

Responsibilities

Ensure effective and efficient contract performance, including contractual performance standards, budget goals, cost containment, and profit and revenue goals.
Formulate contracting-area strategy to meet the network needs of various lines of business.
Ensure contractual and corporate standards and requirements are met and corporate guidelines are followed.
Establish and maintain effective working relationships with internal and external clients.
Maintain overall authority for the contract and/or business unit.
Direct, motivate, and develop staff.
Oversee financial planning and budget control.
Work with Actuarial to ensure awareness of the impact of negotiated contracts.