Regional Vice President, Managed Care
Prime Healthcare Management Inc
Ontario, CAFull-timePosted 1 day agoStill listed today
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Job overview
Prime Healthcare is seeking a Regional Vice President, Managed Care to develop and implement managed care strategies and alignment models, negotiate and administer payer contracts, and plan and evaluate managed care programs. The role requires at least 10 years of related experience, in-depth knowledge of managed care, strategic thinking, independence, and strong communication and presentation skills. A master's degree and payer and provider experience are preferred.
Skills & qualifications
Skills
Qualifications
Full job description
Overview
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
Responsibilities
The Regional VP, Managed Care will develops 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.
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Qualifications
Required qualifications:
- 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.
Preferred qualifications:
- 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
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