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Vice President of Network Strategy & Contracting (R1)

Company: Beacon Health Options
Location: Boston
Posted on: September 14, 2019

Job Description:

Beacon Health OptionsJob Category: Provider & Network - StrategyReq #: VICEP01483Schedule: Full TimeLocation: MA - BostonWe Help People Live their Lives to the Fullest Potential!

For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a 'world-class' candidate experience from the moment you click 'Apply'! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise.

Do you have a passion for helping others? If so, we are looking for you!

Beacon is currently seeking a Vice President of Network Strategy & Contracting to join our team at our Woburn, MA office. The Vice President of NS & Contracting will serve as a single point of accountability for all externally related network work and activity (i.e. contracting, network adequacy and access, provider relations, network builds, new business implementation support, client audits and value based payment arrangements) related to their assigned region. The VP NS works in close alignment and has a "seat at the table" with the regional leadership (Market President, COO, Chief Partnership Officer, CFO, and Clinical VP) for their assigned region they support to ensure access to quality behavioral health services.

What does a typical day look like?

  • Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management.
  • Define network configuration to meet projected member access, utilization and budget requirements in all geographic regions pursued by the organization and region.
  • Negotiate and coordinate contractual, operational and service requirements for facility, group, and individual behavioral health providers.
  • Develop functional, market level and/or site strategy, plans, production and/or organizational priorities.
  • Identify and resolve technical, operational and organizational problems, aggressively seeking opportunities to improve departmental workflows and increase efficiencies.
  • Direct work that impacts entire functions and/or customer accounts (internal and external).
  • Manage a team of negotiators to meet the needs of the health plan objectives and/or targets.
  • Promote positive relationships with a multitude of network providers.
  • Maintain a thorough understanding of all provider contract language -- identify and coordinate needed revisions.
  • Consult with appropriate regulatory entities and legal counsel as necessary to proactively address, resolve or clarify contractual issues.
  • Assure that the network(s) meet applicable standards of all products.
  • Maintain integrity of provider data including multiple enterprise and governmental systems as well as written documentation of provider network.
  • Ensure compliance with departmental and corporate performance metrics.
  • Ensure timely on-boarding, including credentialing activities that are compliant with governmental accrediting body requirements.
  • Comply with all accreditation standards of URAC and the National Committee for Quality Assurance (NCQA).
  • Lead/manage staff, including recruitment and selection, professional development and strategic as well as tactical management.
  • Prepare performance, statistical, and other operational reports.
  • Prepare/meet annual budget to support business plans.
    What you Contribute?

    Education: Bachelor's Degree required or Master's Degree is preferred.

    Work Experience:

    Requires at least 10 years of progressively responsible professional experience in healthcare, with at least five (5) of those years network related.

    Travel: 25% - 50%

    Knowledge, Skills & Abilities:
    • Demonstrated leadership in managing a team, from identifying talent to development and workload management.
    • Ability to design effective, strategic initiatives based on current and trend utilization.
    • Strong problem-solving skills and attention to detail.
    • Strong communication skills, able to motivate a team in a matrixed, dynamic environment.
    • Strong presentation skills and demonstrated ability to effectively communicate detailed information to healthcare providers.
    • Strong project management skills including the ability to manage multiple projects and meet deadlines.
    • Strong interpersonal skills and good written and verbal communication skills.
    • Computer skills required, including working knowledge of MS Office: Word, Excel, and PowerPoint.
    • Ability to travel
      What Makes Us Different?
      • Here, it's not just a job - it's an opportunity to change lives.
      • Our employees are learners, innovators and original thinkers.
      • Our mission and values guide the way we treat our members, providers and each other.
        What We Have to Offer:
        • Healthcare benefits available starting day 1!
        • Health & wellbeing incentives, such as gym membership reimbursement
        • 401K with company match to help reach your future financial goals
        • Generous PTO, because we know life happens outside of work
        • Tuition reimbursement so you can keep reaching your fullest potential
          If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started!

          Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

          At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

          #LI-7CF1

          #GD

          $NFD

          #CB

          PM16 PI113638542

Keywords: Beacon Health Options, Boston , Vice President of Network Strategy & Contracting (R1), Executive , Boston, Massachusetts

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