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Vice President of Health Plan Contracting in Ontario, CA at Prime Healthcare Services Inc

Date Posted: 5/7/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Ontario, CA
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    5/7/2019

Job Description

Responsibilities

The Vice President of Health Plan Contracting is responsible for contracting with National and Regional Heath Plans for Prime Healthcare in a multi-state environment. Actively evaluate, negotiate and manage contractual relationships with Heath Plans and State Agencies and other payors. Prior experience in negotiating on behalf of large Hospital/Health System is a must. Position can work remotely and/or be located out of California, New Jersey, Pennsylvania, or Nashville, TN.
Qualifications

1. Minimum of 10 years prior work experience in negotiating commercial insurance, Medicaid and Medicare contracts; provider network management/development and/or management in a manages care or hospital setting is required.
2. 5+ years of High level management experience in health plan contracting
3. Ability to review contract language for financial, legal and operations impact and to ensure compliance with State and Federal Regulatory Agencies. Must have ability to develop contract language
4. Analytical skills with emphasis on contract development, assessment and negotiation, financial analysis problem solving and project/time management
5. Requires a Masters degree in related business/health/management field or relevant Bachelors degree with direct prior job experience negotiating on behalf of a large Hospital/Health System.

 

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