CareCentrix

  • AVP - Network Management

    Job Locations Remote | US-KS-Overland Park | US-FL-Tampa | US-AZ-Phoenix
    Job ID
    2019-7943
    Category
    Provider Management
  • Overview

    This is an excellent opportunity to help shape the future of healthcare and drive innovation throughout the industry. CareCentrix is committed to making the home the center of patient care. As the AVP – Network Management you will be responsible for the successful management of the CareCentrix network of providers focused on driving value through rate negotiations, provider partnerships and alternative payment models. This would include both our rendering Providers (Home Health Agencies) and referring providers (Hospitals, Physician Groups). The position will identify and assist in prioritization of scalable, provider-based strategies that meet the needs of internal and external stakeholders.

     

     

    Responsibilities

    • Develop a high performing network of providers inclusive of network scope, outcomes and costs that meets the needs of existing and future clients.
    • Develop mutually beneficial partnerships with providers to impact the quality and cost of healthcare delivered
    • Working cross functional with internal stakeholders to ensure Provider Network is meeting the needs of Operations, Medical Economics, Sales and Revenue Cycle Management
    • Identify pressing market factors, factoring in current and future needs. Assess innovation opportunities and identify barriers to bringing innovation to market.
    • Develop a strategically defined provider focused plan for new products with accompanying goals and objectives.
    • Drive provider strategy and development with an emphasis on competitive intelligence, market trend analysis and market research.
    • Drive strategic alignment of corporate strategy with product development activities in close partnership with the Growth Office.
    • Create financial models and analysis designed to support key decisions for a go no go outcome.
    • Ensure requirements are accurately identified within and across strategies and that regulatory, administrative and marketing documentation are is readily producible.
    • Work with IT and other cross functional groups such as Growth Office and RCM to develop provider focused strategies.
    • Keep current on market drivers related to Retail exchanges, Accountable Care Organizations and alternative care delivery models.
    • Lead cross-functional teams to develop detailed business plans including acquisition analyses, technology development assessment, roll out communication strategy and training.
    • Excellent communication (verbal/written), organizational and interpersonal skills.
    • Manage multiple tasks, be detail oriented, be responsive, and demonstrate independent thought and critical thinking.

    Qualifications

    • Bachelor’s Degree in a transferable discipline required. Master’s Degree, Finance/MBA preferred
    • 10 + years in a wide variety of managed care strategic leadership roles
    • Demonstrated work experience in execution of strategic planning
    • Excellent organizational and analytic skills required. Knowledge of Utilization Management and URAC standards


     

    CareCentrix maintains a drug-free workplace in accordance with Florida’s Drug Free Workplace Law.

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