Vp, Provider Reimbursement And Contracting

judi.health

Remote
$250,000—$310,000 usd py
Remote
Network design and payment innovation
Value-based payment models
High-performing provider partnerships
The Provider Reimbursement and Contracting Leader is responsible for architecting and advancing network solutions that integrate network design, payment innovation and high-performing provider partnerships in a unified medical-pharmacy ecosystem

Job Summary

  • The Provider Reimbursement and Contracting Leader is responsible for architecting and advancing network solutions that integrate network design, payment innovation and high-performing provider partnerships in a unified medical-pharmacy ecosystem.
  • This position will lead the development of differentiated network constructs, tailored ASO network solutions and high performing provider contracts with value‑based innovations that improve outcomes, optimize the total cost of care and enhance employer and member value.
  • This leader will create the foundational methods, tools and processes for provider negotiation and lead a team to execute these contracts across the country.

Matching Summary

The Provider Reimbursement and Contracting Leader is responsible for architecting and advancing network solutions that integrate network design, payment innovation and high-performing provider partnerships in a unified medical-pharmacy ecosystem.

Salary

$250,000—$310,000 USD

Skills & Requirements

Must-have

  • network design and payment innovation
  • value-based payment models
  • high-performing provider partnerships
  • ASO network solutions
  • provider negotiation and execution

Nice-to-have

  • rebuilding trust in healthcare
  • minimizing provider hassle
  • enhancing member experience
  • culture of innovation

Key Requirements

  • 20+ years experience in provider network design
  • MBA or related graduate degree preferred
  • Experience in fast-paced, high-growth or startup environments

Work Rights

Not specified

Tailored Resume

Cover Letter