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Vice President of Network Development & Contracts

Company: P3 Health Group Management, LLC
Location: HENDERSON
Posted on: May 3, 2021

Job Description:

People. Passion. Purpose.

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.

We are looking for a Vice President of Development & Contracting. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Las Vegas, Nevada, then you should consider joining our team.

Vice President, Network Development & Contracting

Overall Purpose: Direct and/or support the provider network and contracting activities across all markets. Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management. Oversee the coordination and negotiation for the contracting department.

Essential Functions:

Establish the departments 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 market

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

Analyze 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

Maintain compliance with all health plan and governmental requirements and regulations

Identify and implement a contract management system across the enterprise

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

Assist Population Health Management Senior Leadership in key provider relations and strategy

Ability to travel

Qualifications:

Education/Experience: 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 hospital and/or managed care payor environment

Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff

EQUAL OPPORTUNITY EMPLOYER

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

DIVERSITY & INCLUSION

At P3, we recognize and appreciate the importance of creating an environment in which all team members feel valued, included, and empowered to do their best work and bring great ideas to the table

Every P3 family member's unique experiences, perspectives, and viewpoints are valued and support our ability to deliver the best possible experience for our patients, providers, payers, partners, and each other.

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Keywords: P3 Health Group Management, LLC, Henderson , Vice President of Network Development & Contracts, Other , HENDERSON, Nevada

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