SVP, Network Management - Sentara's Health Plan

Location
Virginia Beach, VA
Salary
Competitive
Posted
Sep 05, 2018
Closes
Dec 20, 2018
Ref
115842BR
Function
Management
Industry
Healthcare
Hours
Full Time
Overview:

Sentara Healthcare's Health Plan is Currently Recruiting for a SVP, Network Management.

Responsibilities:

This position is based out of Hampton Roads, Virginia and reports directly to Optima’s CEO. The SVP Network Management informs and executes Optima’s strategic vision and objectives for the provider networks across all markets. The SVP will network management staff, external consultants and support regional market expansion activities. Provide executive leadership in network strategy, reimbursement, network expansion/development, contracting and education. Partner with other Optima or Sentara corporate functions to create new provider network products and client offerings. Deliver improved client and provider satisfaction and operational efficiencies through the execution of strategic programs.

Responsibilities:
    Manages contracts for the provider networks in a multi-state environment.Will help lead the core nation across multiple business lines of value based contracting terms and programs.Create payment incentives to support the evolution of advanced clinically integrated networks. Oversee network analysis and strategy development and implementationDevelop new innovative payment models.Assist health plan CEO in key provider relations and strategy.Ability to travel.


Qualifications:

Education Level
Masters Degree

Experience
• Health Plan Contracting and Network Development - 10 years
• Executive – 5 years

License
None, unless noted in the "Other" section below

Skills
• Strategic experience managing large regional or national provider networks, in a highly competitive marketplace; superior negotiation skills and ability to build effective relationships with providers.
• Strong understanding of the financial and strategic impact of provider contracts and network affiliations in the health care delivery marketplace.
• Understanding of Complex business strategies.
• Professional demeanor with the ability to work closely with other Executives.
• Prior experience in negotiating on behalf of large Hospital/Health System.
• Skilled in providing operational support for multi-business contracts.
• Proven track record of payment innovation to promote plan growth.
• Strategic in focus with a deep understanding of driving cost –efficiency and quality improvement across networks.
• Strong Analytical skills with emphasis on contract development, assessment and negotiation, financial analysis problem solving and project/time management

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