Vice President of Provider Relations

2 weeks ago


Chase City, Virginia, United States CLevelCrossing Full time

Company Overview

CLevelCrossing is a prominent player in the integrated healthcare sector, committed to enhancing the overall well-being of its members. Our mission transcends traditional insurance roles, positioning us as partners in health. We focus on holistic approaches that drive positive changes in individual and community health, ensuring our members feel secure and empowered to lead fulfilling lives.

Position Summary

We are currently seeking a seasoned healthcare executive for the role of Vice President of Provider Relations. This leadership position is crucial for cultivating strategic partnerships with providers across various product lines. The Vice President will play a pivotal role in developing provider networks that align with our organizational objectives and enhance community health outcomes.

Key Responsibilities

  • Establish and maintain strategic relationships with regional healthcare providers across Medicare, Group, and Medicaid segments.
  • Ensure comprehensive coverage of primary care, specialty, and ancillary services to meet regulatory and sales support requirements.
  • Serve as the primary contact for escalated provider issues and engagements, aligning strategies across different segments.
  • Lead initiatives to transition targeted membership and providers to engagement agreements.
  • Explore innovative partnership opportunities and joint ventures to enhance service delivery.
  • Drive continuous improvement efforts related to cost strategies and ensure access to care for members.
  • Oversee provider performance analytics, supporting value-based contracts and trend management initiatives.
  • Foster a collaborative environment that promotes productivity and talent development.

Candidate Qualifications

The ideal candidate will possess:

  • Extensive leadership experience within the healthcare industry, particularly in managed care environments.
  • A proven track record in leading contract negotiations across various provider types.
  • In-depth knowledge of health plan finance and provider compensation structures.
  • Strong relationship management skills, with the ability to influence and navigate complex organizational dynamics.
  • Exceptional communication skills, capable of representing the organization effectively in diverse forums.
  • A commitment to enhancing consumer experiences and driving continuous improvement.

This position will report to senior leadership and will involve managing a dedicated team focused on provider engagement and operational excellence.

Scheduled Weekly Hours

40

CLevelCrossing is an equal opportunity employer, dedicated to fostering an inclusive workplace that values diversity and collaboration.



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