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AVP, Network and Contracting
remoterocketship
- Remote, Oregon, United States
- Remote, Oregon, United States
About
Oversee Provider’s Contracting and Network operational strategy for assigned market Develop and maintain a market-specific Provider Reimbursement Strategy Oversee the development of new reimbursement models and approval process for Health Plan exceptions Establish and sustain relationships with regulatory agencies and other stakeholders Manages strategic positioning for provider contracting Oversee complex contracts and negotiations for fee for service and value-based reimbursements Collaborate with market and enterprise committees and workgroups Lead and develop a high‑performing contracting team Meet or exceed projected member access, product, utilization and budget requirements Collaborate, innovate and support provider approaches to address contract compliance Requirements:
Bachelor's degree in related field required Master's degree preferred Ten (10) years experience in health care external stakeholder and community program support, project and program management; complex business processes, strategic and business planning or related required Five (5) years of prior management experience required Proficient in Microsoft Excel, Word, PowerPoint Critical listening and systematic thinking skills Planning, problem identification and resolution skills Business process/management skills Strong financial background Ability to maintain confidentiality and act in the company’s best interest Strong oral, written, and interpersonal communication skills Excellent leadership, management and supervisory skills and experience Ability to act with diplomacy and sensitivity to cultural diversity Knowledge of regulatory reporting and compliance requirements Benefits:
Health insurance Retirement plans Paid time off Flexible work arrangements Professional development opportunities Bonuses Comprehensive total rewards package
Languages
- English
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