Regional Vice President (RVP) Healthcare Networks (Indiana)

Elevance Health•Indianapolis, IN

4d•Hybrid

About The Position

The Regional Vice President (RVP) Healthcare Networks for the Indiana market is responsible for strategic leadership in provider engagement, unit cost management, and contracting. This role oversees a benefit spend of at least $500 million, including local cost of care and trend management, provider contracting, implementation and local oversight of payment innovation programs, and provider relations. The position involves managing a team of 7 direct reports and over 25 total FTEs. This is a hybrid role requiring associates to be in-office at least 3 days per week, fostering collaboration while allowing for flexibility. Alternate locations may be considered, but candidates must be within a reasonable commuting distance unless an accommodation is granted.

Requirements

BS/BA in business administration or related healthcare field.
Minimum of 8 years of experience in healthcare operations, finance, underwriting, actuary, network development and/or sales; or any combination of education and experience which would provide an equivalent background.
Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Nice To Haves

MBA strongly preferred.
Experience in the Indiana health insurance market strongly preferred.
Excellent contracting, analytical and negotiation (listening) skills needed.
Proven strategic provider partnership experience.
Proven experience developing and maintaining meaningful relationships both internal to the organization and external client facing.

Responsibilities

Delivers competitive cost of care trends for Indiana market.
Develops provider networks that provide a competitive advantage.
Aligns contracting strategy with medical management strategy.
Integrates quality metrics and incentives into contracting process.
Serves as Healthcare Networks local single point of accountability for all product lines.
Facilitates the implementation of local system and product consolidation efforts.
Ensures compliance with regulatory and accreditation standards as it relates to the efficacy of the provider networks.
Collaborates with Product Development to recommend and implement innovative benefit plan designs focused on affordability and simplicity.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.