Full employer posting
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden City Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. At Garden City Hospital, we pride ourselves on community involvement and commitment to preserving access to quality and compassionate healthcare.
We are a state-of-the-art medical facility with over 300 licensed beds and a teaching hospital, offering medical education to students, residents and fellows from across the country. The residency and fellowship programs offer graduate medical education to more than 80 trainees in specialties. Garden City Hospital has an award-winning staff of over 350 of the area's best and brightest physicians from almost every specialty.
Learn more at www.gch.org. Responsibilities The Regional VP, Managed Care will develop and implement the managed care strategies for the organization. Develops and implements alignment models such as pay for performance, bundled payments and various forms of risk contracting.
Negotiates and administers contracts with managed care payers. Responsible for planning, evaluating, and implementing the various managed care programs. Negotiates contracts with managed care companies.
Qualifications EDUCATION, EXPERIENCE, TRAINING Required
1. At least 10 years related experience. 2. In depth knowledge of managed care concepts, practices and procedures. 3.
Master's degree in related field preferred. 4. Strategic thinker, goal oriented, ability to work independently. 5. Excellent communication and presentation skills.
1. Payer and provider experience preferred. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer.
Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories.
Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Day shift
About the role
The Regional VP, Managed Care will develop and implement the managed care strategies for the organization. Develops and implements alignment models such as pay for performance, bundled payments and various forms of risk contracting. Negotiates and administers contracts with managed care payers.