VP Provider Services/Analytics

VP Provider Services

California

We have been engaged by a one of America’s leading health benefits companies and a Fortune Top 50 Company to identify seasoned candidates to fill the position of VP Provider Economics.  This is an exceptional opportunity to do innovative work that means more to you and those served.

 

Responsibilities:

This Leader is accountable for all medical provider network analytics in the California market:

  • Provides consultation and analytic support on network strategies, negotiation strategy and cost of care issues and opportunities.
  • Financial impact analysis in support of negotiations with integrated delivery systems, hospitals, professional providers (both capitated and fee-for-service) and ancillary providers.
  • Develops and maintains provider unit price forecasts.
  • Tracks key provider negotiations for senior management reporting.
  • Oversees the analytics and reporting that support the capitated medical group environment in the CA market, including support for medical cost performance / MLR drilldown, incentive programs, narrow network development / maintenance, profitability analysis and cap leakage.
  • Drives analytical solutions that best leverage scalable, enterprise solutions to support provider enablement and population health management.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

 

Qualifications

  • Requires a BA/BS degree in Business; MBA preferred
  • 7+ years’ experience in broad-based analytical, managed care environment; management experience; or any combination of education and experience, which would provide an equivalent background.
  • 5+ years of experience with the analysis and/or capability development in support of capitated delivery systems strongly preferred.
  • Experience with industry-standard normalization methodologies, examples including DRG groupers/weights, APC, RVU, ETG, PEG and DxCG risk score or other population risk-adjustment platform.
  • Exceptional problem solving, analytical, oral and written communication, and leadership skills.

Exceptional opportunity with dynamic organization – competitive salary, annual incentive bonus potential and relo assistance and career excellent growth potential

Given your position it is likely you know qualified and interested individuals.  We reward your networking efforts by giving a $1000 cash referral bonus once your referral is hired.

If you are personally interested in learning more about this position and wish to have a confidential conversation, please submit resume with salary history:

Pat Holtermann at 360-665-2433 ~ 888-778-0098 or Send resume to pat@hva-jobs.com
Visit our website www.hva-jobs.com to view additional career opportunities
Holtermann & Associates, 1105 195th Street, Long Beach, WA 98631