Regional VP of Managed Care

Garden City Hospital•Garden City, MI

About The Position

The Regional VP of Managed Care develops and implements managed care strategies for the organization. This role develops and implements alignment models, including pay for performance, bundled payments, and various forms of risk contracting. The position negotiates and administers contracts with managed care payers and is responsible for planning, evaluating, and implementing managed care programs.

Requirements

  • At least 10 years of related experience.
  • In-depth knowledge of managed care concepts, practices, and procedures.
  • Be a strategic thinker and goal-oriented, with the ability to work independently.
  • Excellent communication and presentation skills.

Nice To Haves

  • Master's degree in a related field.
  • Payer and provider experience.

Responsibilities

  • Develop and implement managed care strategies for the organization.
  • Develop and implement alignment models such as pay for performance, bundled payments, and various forms of risk contracting.
  • Negotiate and administer contracts with managed care payers and companies.
  • Plan, evaluate, and implement managed care programs.
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