Akumin

  • VP of Network Development & Contracting

    Job Locations US-TX-Dallas
    Type Full-Time
    ID
    2020-4265
    Updated Date
    1/9/2020
    Address
    7920 Beltline Road
  • Overview

    The Vice President of Network Development & Contracting (the VP) is responsible for building and maintaining a healthcare provider network aligned with the strategic growth objectives of the organization. Reporting to the CEO the VP leads the execution of reimbursement strategies, value based contracting, analytics and performance standards to enhance contractual relationships with key multi-disciplinary healthcare partners; leads the engagement and negotiation with diverse provider organizations; and ensures that contracting tactics foster efficient and effective implementation of Akumin’s care model through delegated and contracted providers. The VP ensures that execution aligns with strategic objectives coming from leadership.

    Responsibilities

    • Establish the department's strategic vision, objectives, and policies and procedures.
    • Provide direct oversight of the Credentialing as well as Eligibility, Verification and Authorization teams’ daily functions to ensure responsibilities are completed efficiently and in a timely fashion. Hold regular meetings with team to ensure they are given appropriate direction and feedback.
    • Develop, implement and maintain production and quality standards for the Contracting department.
    • Work with Operational leaders to ensure effective implementation and adherence of payment and authorization practices.
    • Establish and maintain effective business relationships with network providers on behalf of the organization.
    • Perform periodic analyses of the provider network from a cost, coverage, and growth perspective.
    • Conduct periodic review of provider contracting rates to ensure strategic focus is on target with overall Company strategy.
    • Analyze claim trend data and/or market information to derive conclusions to support contract negotiations
    • Work with Managed Care providers and other representatives to resolve contractual issues.
    • Support market expansion and M&A activities by leading provider contract analysis related to due diligence

     

    Qualifications

    • Deep knowledge of health care marketplace and ability to bring the marketplace perspectives into Akumin to educate colleagues.
    • Bachelor's degree or equivalent experience in Business Administration, Healthcare Administration or related field.
    • 10+ years of multistate experience in managed care network development and provider relations/contracting management in a health care, HMO, Medicare risk and/or managed care environment.
    • 3 – 5 years of multi-state contracting and credentialing experience.
    • Strong quantitative and analytic skills.
    • Expertise in Healthcare Network Contracting, Payment and Management
    • Advanced knowledge of provider cost, utilization and quality measurement
    • Expertise with healthcare network building and management
    • Strategic and critical thinking skills

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