Regional Vice President (RVP) Provider Solutions (Indiana)

Elevance Health•Indianapolis, IN

5d•Hybrid

About The Position

This role requires associates to be in-office at least 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, 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. Responsible for providing strategic leadership for provider engagement, unit cost management and contracting for Indiana market with a benefit spend of at least $500 million, including local cost of care and trend management, provider contracting, implementation and local oversight of all types of payment innovation programs, and provider relations. Team Scope 7 direct reports / 25+ total FTE’s

Requirements

Requires BS/BA in business administration or related healthcare field and a 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.

Nice To Haves

MBA 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.
Experience in the Indiana health insurance market.

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.