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Vice President, Contracts

3 months ago

Detroit, Michigan, United States Henry Ford Health System Full time

POSITION SUMMARY:

The Network Vice President-Contracts and Compliance provides senior leadership to Network value-based contracting strategy and provider membership management across a large pluralistic clinically integrated network of participating providers including employed medical groups, provider associations, independent providers, and facilities. Serves as Chief Compliance Officer for the Clinically Integrated Network ensuring execution in compliance with contractual and regulatory/accreditation standards.

Reporting into the Chief Network Services Officer, this role includes leadership oversight and direction for payor, provider, vendor, employer contracting, as well as provider credentialing and membership management systems and compliance with all governmental, payor, regulatory requirements and clinical integration and contract performance standards.

REQUIRED EXPERIENCE:

  • Minimum of seven (7) years of progressive leadership experience in healthcare contracting and compliance, including experience related to clinical integration, accountable care, and value-based contracting.
  • Minimum of three (3) years of experience evaluating and drafting value-based contract terms/language for payor/employer agreements.
  • Minimum of three (3) years combined experience managing compliance for physician network/provider association across governmental, payor, regulatory requirements with demonstrated vision and understanding of healthcare financing including development of innovative payment/financing models with health insurers and employers.
  • Demonstrated ability to clearly articulate value proposition of clinically integrated care and experience successfully engaging providers, payors, and other partners in value-based care arrangements.
  • In depth knowledge and understanding of all business aspects of health care with particular emphasis in physician networks, including assessing and structuring physician partnerships and management of physician and hospital relationships.
  • Strong organizational, planning and implementation skills with ability to manage large, complex, simultaneous assignments with potentially conflicting priorities and deadlines.
  • Demonstrated knowledge of health care laws and regulations including clinical integration standards.
  • Demonstrated ability to work collaboratively with payor, provider, executive and legal partners to achieve mutually beneficial contract terms that advance value-based care.
  • Demonstrated excellence in generation of written reports, proposals, and summaries for a variety of audiences.
  • Proven ability to utilize structured process improvement methodologies including compliance systems.
  • Ability to assimilate industry trends and predict future relevance and applicability.
  • Strong leadership/mentoring skills applicable to lead multi-disciplinary teams.
  • Strong interpersonal skills: ability to communicate effectively with all levels of management and staff across the System and outside the System. REQUIRED EDUCATION:
  • Juris Doctor or related degree (MBA, MHA, MHSA).

Additional Information

  • Organization: Corporate Services
  • Department: HF CIN
  • Shift: Day Job
  • Union Code: Not Applicable Additional Details

    This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan's largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more

Benefits

Whether it's offering a new medical option, helping you make healthier lifestyle choices or

making the employee enrollment selection experience easier, it's all about choice. Henry

Ford Health has a new approach for its employee benefits program - My Choice

Rewards. My Choice Rewards is a program as diverse as the people it serves. There are

dozens of options for all of our employees including compensation, benefits, work/life balance

and learning - options that enhance your career and add value to your personal life. As an

employee you are provided access to Retirement Programs, an Employee Assistance Program

(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.