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VP, Contracting - Network - Provider Engagement - MILWAUKEE

Company: Cameron Craig Group
Location: Milwaukee
Posted on: February 15, 2020

Job Description:


VP, Contracting - Network - Provider Engagement - MILWAUKEE
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Join an exceptional leadership team here in WISCONSIN. --Working closely with a very accomplished CEO, you will have excellent opportunity for career development.
-------- --------GENEROUS relocation - strong benefits, bonus and equity.
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VP will lead and mentor a team focused on the provider network and contracting activities. Drive network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management.

Experienced leader will establish the department's strategic vision, objectives, and policies and procedures. Develop, implement and maintain production and quality standards for the Contracting department.

Oversee network development staff and external consultants in the development of provider networks across expansion markets.

Perform periodic analyses of the provider network from a cost, coverage, and growth perspective.
Provide leadership in evaluating opportunities to expand or change the network to meet Company goals.

Manage budgeting and forecasting initiatives for product lines to networks costs and provider contracts.

Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations
.
Conduct periodic review of provider contracting rates to ensure strategic focus is on target with overall Company strategy.

Support market expansion and M&A activities by leading provider contract analysis related to due diligence.

Assist health plan CEO and/or COO vendors in key provider relations and strategy.


Qualifications:

-Bachelor's degree or equivalent experience in Business Administration, Healthcare Administration or related field.
-MBA or MHA degree preferred.
-10+ years of experience in managed care network development and provider relations/contracting management in a health care and/or managed care environment.
Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.



NO REMOTE


Keywords: Cameron Craig Group, Milwaukee , VP, Contracting - Network - Provider Engagement - MILWAUKEE, Executive , Milwaukee, Wisconsin

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