Vice President Network Development

_____________________________________________________________ 

Vice President (VP) Network Development - St. Petersburg, FL

_____________________________________________________________

Location:  St. Petersburg

Company:  Community Health Solutions

Status:  Full Time, Permanent

Summary:

Primary responsibilities include participating in responses to governmental Requests for Proposals (RFPs), assisting in development of staffing and implementation plans; maintaining policies and procedures specific to provider network services; overseeing contract development, overseeing network development, and coordinating with other departments as appropriate.

Developing New Business:

  • Participating in responses to RFPs, specific to provider network services development.
  • Participating in development of pro-forma for provider network services for potential new governmental programs.

Staff Recruitment & Training: 

  • Developing provider network services team during implementation of new governmental programs.
  • Developing and overseeing training of provider network staff during implementation of new governmental programs.

Contracting:

  • Overseeing development of provider contracts to ensure compliance with state specific requirements.
  • Participating in maintenance of policies & procedures related to provider recruitment and contracting.

Provider Recruitment: 

  • Establishing a provider recruitment plan for new government programs. 
  • Monitoring recruitment to ensuring compliance with contractual network adequacy standards.
  • Assisting in recruitment and contract negotiation with specific providers across government programs.
  • Coordinating with other departments to ensure the provider network meets the health care needs of Plan members.

General Administrative Activities: 

  • Responsible for departmental staffing decisions and provides supervision to assigned staff 
  • Develops and performs annual reviews for direct reports and monitors performance issues as they arise.

_____________________________________________________________

Vice President (VP) Network Development - St. Petersburg, FL

_____________________________________________________________

Education and Training: 

Bachelor's degree in business or health related discipline such as Healthcare Administration or Healthcare Management or equivalent business experience. Master's Degree preferred. 

Experience: 

  • Minimum of 2 years Medicaid experience.
  • Minimum of 5 years provider contracting/reimbursement experience in healthcare setting.
  • Strong knowledge of Provider, Hospital, Ancillary contracting.

Computer Skills:

Proficiency using software programs such as MS Office, Word, PowerPoint, Excel 

_____________________________________________________________ 

Vice President (VP) Network Development - St. Petersburg, FL

_____________________________________________________________

To apply for the Vice President (VP) Network Development position, please forward resume to careers@chsamerica.com

Tell a friend