VP - Network Management

Company: Universal Health Services, Inc.
Location: Reno
Posted on: December 5, 2019

Job Description:

We're looking for a candidate to fill this position in an exciting company.

• VP, Network Management & Value-Based Care will be responsible for creating and implementing provider selection and retention strategies, building provider relations by implementing value-based contact models and collaborating with internal and external key executives to ensure that value-based contracts align with the overall Company's strategy.
  • Bachelor's degree required.-- Master's degree in Healthcare or MBA preferred.
  • Minimum 10 years' healthcare management experience working with both fee-for-service and value-based contracting.
  • Experience in value-based reimbursement methodologies and understanding the impact of financial results.
  • Demonstrated ability to develop and execute a provider network strategy that leads to clinical integration, value-driven networks.
  • Extensive experience with risk and value -based reimbursement models for physicians and hospitals and ability to communicate these models to providers and Prominence staff.
  • Experience in working with physician profiling software such as Verisk and Crimson.
  • Extensive experience with the full range of network development, ranging from selecting providers, contracting, credentialing, provider feedback, to provider services.
  • Demonstrated ability to build a highly functioning team and to mentor direct reports.
  • Experience with NCQA processes.
  • Experience with Commercial, self-funded, and Medicare Advantage network requirements.
  • Proven ability to foster collaboration between divergent stakeholders.
  • High degree of credibility with key stakeholders based on past accomplishments.
  • Experience in negotiating complex provider reimbursement arrangement.
  • Proven ability to drive organization through cultural change, focused on individual accountability and performance.
  • Solid understanding of health plan key financial drivers.
  • Excellent analytical skills applied in selecting and profiling providers.
  • Solid understanding of medical coding terminology used by physicians and facilities.

Keywords: Universal Health Services, Inc., Reno , VP - Network Management, Executive , Reno, Nevada