STRATEGIC VICE PRESIDENT, NETWORK DEVELOPMENT – Virtual
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Highly reputable national insurer is seeking a talented network development executive to oversee the strategic aspects of provider networks across the enterprise. This corporate role will have oversight of several VPs and AVPs across the enterprise and will focus on government programs.
PRIMARY RESPONSIBILITIES:
-Creates continuity among all health plans in the areas of provider reimbursement, contracting and physician performance.
-Develops and recommends market specific provider network strategy to leverage opportunities and ensure achievement of organizational objectives.
-Works collaboratively with the Plan and other cross functional areas to evaluate, recruit and contract with hospitals and organized provider groups.
-Works collaboratively with finance in setting reimbursement guidelines including market specific models.
-Negotiate provider contract language and reimbursement as needed.
-Establishes standards, programs and process for provider network management, balancing best practices with knowledge of local market factors and needs to ensure success in all markets.
-Works collaboratively with Business Development on new market development and en
For additional information and/or confidential consideration, please contact Tricia French at tfrench@frenchgroup.com or 757-362-0202.