Executive VP, Payer Development and Strategy

• Build the framework and strategy for senior-level engagement with payer organizations to promote access and mutually beneficial patient care results
• Proactively design, propose, and develop innovative payer arrangements (ie-value-based care, risk-sharing, network growth, etc.) projecting financial impact and reporting on results
• Establish a multi-year revenue growth pipeline and valuation methodology to prioritize execution of initiatives
• Oversee contract negotiations, including schedules, milestones, targets and deliverables
• Build and lead team monitoring of Key Performance Indicators, market/competitive dynamics, trending reports, and ad hoc deliverables that yield accurate, meaningful results
• Build process' to ensure adherence to regulatory, compliance, and payer contract term requirements
• Communication and professional conduct
  • Written and verbal skills demonstrate succinctness and clarity around complex issues.
  • Demonstrate organizational skills that promote timely response to inquires and to project completion.
  • Communicate with all individuals in a positive and professional manner.
  • Establish and maintain effective working relationships with a wide range of professional administrative and technical staff at all levels within the organization.
  • Attempt to resolve individual issues with peers in a positive, calm manner, with focus on solution.
  • Communicate concerns and provide solutions for same
  • Project professional image by wearing appropriate professional attire

• Knowledge of acceptable business practices
  • Adherence to administrative reporting structure and procedures
  • Decision-making through risk assessment and management
  • Ability to delegate responsibly and effectively.
  • Sound professional judgement including resourcefulness, initiative, discretion, integrity, and thoroughness.
  • Ability to work in a changing, ambiguous, and fast-paced environment.
  • Contribute in a positive, solution-focused manner

• Manage group and department rapport
  • Promote a team environment, leading by example and by participating in workload completion when necessary.
  • Interact with employees in a sensitive, positive manner.
  • Provide mentorship and coaching to have challenging employee conversations when necessary.
  • Communicate with employees promptly when incidents arise that may be a detriment to their performance or to the organization in general.
  • Assist employees in professional growth.
  • Develop performance standards by which employees can be measured, including competence within areas of responsibility.
  • Perform employee evaluations in a timely manner

Additional Job Description:

• Position requires walking, sitting and standing. Lifting is moderate; must be capable of lifting a minimum of forty (40) pounds. Reaching, handling, grasping and manual dexterity are necessary to operate various equipment.
• Verbal and hearing ability are required to interact with staff, consultants, patients and family members of patients. Numerical ability is required to maintain records and operate a computer.
• Tact is required to interact effectively with employees and professional staff. Logical thinking and discretion required to make decisions in initiating and implementing policies and procedures and standards.
• Must be able to read and communicate through written, verbal and auditory skills and abilities.
• Must be physically/mentally able to perform job duties as verified by a physical exam by a licensed physician, per post-employment physical.

• Bachelor's Degree in Business, Marketing, Healthcare Administration/Management or other related field required
• Master's Degree in Business Administration, Finance, or Healthcare Administration/Management preferred
• 10+ years progressive experience in development role with proven track record of returning improved results
• 7+ years experience in healthcare or managed care environment, demonstrating strong understanding of payor operations and relations
• Experience in behavioral health, direct-to-employer, value-based, and network/referral contracting
• Superb knowledge of reimbursement methodologies, healthcare finance, and integrated care delivery models
• Self-starter and demonstrated ability to work independently with attention to detail
• Excellent interpersonal, relationship management oral, written and presentation skills.
• Proven ability to foster collaboration between healthcare entities.
• Strong analytical skills that result in data-driven recommendations.
• Proficient with Excel, Word, and presentation applications.

With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:

• Health, dental, and vision insurance coverage for you and your family
• 401(k) retirement plan
• Employee share program
• Life/disability insurance
• Flex spending accounts
• Tuition reimbursement
• Health and wellness program
• Employee assistance program (EAP)

Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)