Regional Vice President
2 months ago
Job Description
:Regional Vice President (RVP) Provider Solutions
Location: Miami, FL or Tampa, FL.
Summary:
The Regional Vice President (RVP) of Provider Solutions will be responsible for strategic leadership over all provider engagement and contracting activity throughout Florida, including cost of care and trend management strategy, hospital negotiations, network and product design (implementation), and development/oversight of all payment innovation programs (value-based care), provider relations and primary care growth strategy throughout the state. The position holds leadership and end-to-end responsibility over Simply Healthcare, HealthSun Health Plans, Freedom Health and Optimum Healthcare (American First Choice) network development activities on behalf of multiple P&Ls.
Position Responsibilities:
Primary duties may include, but are not limited to:
Oversees and continuously optimizes the local-market care delivery model, seeking and identifying new opportunities to enhance, enable and improve market provider account management expertise and the overarching provider experience.
Delivers competitive cost-of-care trends throughout Florida, positively impacting the affordability of respective Medicaid and Medicare Advantage health plan products.
Develops new provider networks that establish a competitive advantage, optimizing respective provider relationships to most effectively benefit health plan growth priorities.
Aligns contracting decisions with medical management strategy, integrating quality metrics and unique (non-traditional) incentives into the overarching contracting process, shepherding a market transition from “fee-based” reimbursement to a model based on quality achievement.
Ensures compliance with all regulatory and accreditation standards (local and federal).
Collaborates with Product Development to recommend and implement innovative benefit plan designs in parallel with annual planning processes.
Mentors, hires, trains, coaches, counsels, and evaluates the performance of approximately ~150 direct report associates (directors, managers, analysts, individual contributors).
Position Requirements:
BS/BA in business administration or related healthcare field and a minimum of 10 years of experience in healthcare operations, finance, underwriting, actuary, network development, and/or sales; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
MBA, MPH and/or JD preferred.
Excellent contracting, analytical and negotiation (listening) skills needed.
Proven strategic provider partnership experience.
Value-Based contracting expertise and performance management experience.
Proven experience developing relationships both internal to the organization and external client facing.
Experience in the Florida health insurance market.
Spanish and English written and literary proficiency strongly preferred.
Job Level:
Staff/Regional VPWorkshift:
Job Family:
PND > Network ContractingPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
We have other current jobs related to this field that you can find below
-
Regional Vice President Sales
2 months ago
Tampa, United States The RLP Group Full timeJob DescriptionJob DescriptionWe are currently seeking to hire a Regional Vice President Sales to join our team! You will be responsible for overseeing and developing a sales team to drive company revenue.Responsibilities:Oversee and coordinate the sales team activitiesEstablish sales territories, quotas, and goals for the sales teamAnalyze sales statistics...
-
Investment Banking Vice President
1 day ago
Tampa, United States Selby Jennings Full timeTitle: Investment Banking Vice PresidentCompany Summary: We are currently partnered with a MM Investment Bank looking to add an Investment Banking Senior Vice President to their team in Tampa, FL. This Investment Banking Vice President will have the opportunity to join a team that is on track to have another record year here in Tampa, have a path to...
-
Tampa, United States Distinctive Living Full timeJob DescriptionJob DescriptionApply today to learn why Distinctive Living is a certified Great Place to Work!Distinctive Living is seeking a Regional Vice President of Operations based in Florida. Our Culture We deeply care about our team-members and partners and strive to provide a culture where people feel valued and inspired.A Focus on Development At...
-
Tampa, United States Distinctive Living Full timeJob DescriptionJob DescriptionApply today to learn why Distinctive Living is a certified Great Place to Work!Due to exciting organizational growth, Distinctive Living is seeking a Regional Vice President of Sales (Senior Living) based in Florida.RESPONSIBILITIES:Reporting to the Chief Sales and Marketing Officer, the Regional Vice President of Sales, FL will...
-
Vice President of Land Development
2 weeks ago
Tampa, United States LGI Homes Full timeJob DescriptionJob DescriptionLGI Homes is seeking a Vice President of Land Development in the Tampa area. As one of the World’s Most Trustworthy Companies and a Top Workplace in the USA, LGI Homes has a notable legacy of homebuilding excellence. We are seeking Land Development professionals who are self-motivated and eager to dive in to the LGI Homes...
-
Vice President, Account Management
2 months ago
Tampa, United States Avalon Administrative Services, LLC dba Avalon Healthcare Solutions Full timeAbout the Company: Avalon Healthcare Solutions, headquartered in Tampa, Florida, is the world's first and only Lab Insights company, bringing together our proven Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and improve...
-
Vice President, Account Management
3 weeks ago
Tampa, United States Avalon Administrative Services, LLC dba Avalon Healthcare Solutions Full timeAbout the Company: Avalon Healthcare Solutions, headquartered in Tampa, Florida, is the world's first and only Lab Insights company, bringing together our proven Lab Benefit Management solutions, lab science expertise, digitized lab values, and proprietary analytics to help healthcare insurers proactively inform appropriate care, reduce costs, and improve...
-
Tampa, United States Distinctive Living Full timeJob DescriptionJob DescriptionApply today to learn why Distinctive Living is a certified Great Place to Work!Distinctive Living is seeking a Regional Vice President of Plant Operations based in Florida. Our Culture We deeply care about our team-members and partners and strive to provide a culture where people feel valued and inspired.A Focus on Development...
-
Vice President Human Resources Operations
2 weeks ago
Tampa, United States Discovery Senior Living Full timeAbout Discovery Senior Living Discovery Senior Living ranks prominently among the 5 largestsenior housing providers in the US, and is nationally renowned for designing,developing, marketing, and operating a multi-brand portfolio of upscale, luxurysenior-living communities. With over 250 communities in nearly 40states, and 15,000 dedicated employees,...
-
Vice President Human Resources Operations
3 weeks ago
Tampa, United States Discovery Senior Living Full timeJob DescriptionJob DescriptionAbout Discovery Senior LivingDiscovery Senior Living ranks prominently among the 5 largestsenior housing providers in the US, and is nationally renowned for designing,developing, marketing, and operating a multi-brand portfolio of upscale, luxurysenior-living communities. With over 250 communities in nearly 40states, and 15,000...
-
Vice President of Marketing
2 months ago
Tampa, United States Vetted Solutions Full timeVice President of Marketing & Communications BICSI is a global professional association with the mission to advance the information and communication technology (ICT) profession. BICSI’s vision is to be the preeminent resource for the connected world with focused values in integrity, service, and excellence. The Vice President of Marketing & Communications...
-
Vice President of Sales
3 months ago
Tampa, United States Careerbuilder-US Full timeWe are currently seeking to hire a Vice President of Sales to join our team! You will be responsible for overseeing and developing a sales team to drive company revenue. Responsibilities: Oversee and coordinate the sales team activities Establish sales territories, quotas, and goals for the sales team Analyze sales statistics to identify areas...
-
Regional Vice President, Sales
4 weeks ago
Tampa, United States Merit Medical Full timeWhy Merit? At Merit Medical, our mission is to create innovative medical devices that improve lives. Our goal is to hire and develop people who want to build something special through hard work, team effort, and commitment. Together, we are making a difference in the lives of patients around the world. DAY (United States of America) Salary range $200K or up,...
-
Vice President of Accounting
1 month ago
Tampa, United States Mainsail Lodging & Development Full timeMainsail Lodging & Development is an award-winning, Tampa, Florida-based company specializing in hotel, corporate furnished housing, and resort property management and development, marketing, and sales. An established company with a dynamic entrepreneurial spirit, Mainsail prides itself in finding unique lodging opportunities with a purpose and applying its...
-
Vice President of Operations
1 week ago
Tampa, United States Careerbuilder-US Full timeOur client (an international consumer product company) is looking for a Vice President of Operations. Job Summary Lead the implementation of operational strategies and objectives across multiple revenue generating departments. Understand each product and manage improvement of operational efficiency. Exceed the product delivery of overall customer...
-
Regional Vice President, Client Development
1 month ago
Tampa, Florida, United States Hearst Magazines Full timeThe Regional Vice President, Client Development (RVP, CD) provides dedicated account management, coordination, and product expansion across MHK's clients. This is an extremely visible role within the company, supporting the retention and growth of MHK's customers. The core focus will be on building relationships with MHK's clients and leveraging strong...
-
Operational Risk Management
2 months ago
Tampa, United States MUFG - Mitsubishi UFJ Financial Group, Inc. Full timeExecute / support the Effective Challenge & Oversight Framework for assigned business coverage areas, including but not limited to:Support deep dive reviews with the F - Lo. D on significant risk events and operational losses. Identify with the F - L Risk, Management, Vice President, Corporate, Operation, Banking
-
Senior Software Engineer
3 weeks ago
Tampa, United States MUFG Americas Full timeSenior Software Engineer (Java, React, Angular) Assistant Vice President page is loaded Senior Software Engineer (Java, React, Angular) Assistant Vice President Apply locations Jersey City, NJ Tempe, AZ Tampa, FL time type Full time posted on Posted 8 Days Ago job requisition id 10065206-WD Do you want your voice heard and your actions to count? Discover...
-
Operational Risk Management
2 months ago
Tampa, United States MUFG - Mitsubishi UFJ Financial Group, Inc. Full timeReporting to the Operational Risk Management Governance Director this role will be focused on managing the Assessment function within ORMD and oversee the processes associated with the internal control programs/assessments (Control Self Assessment (C Risk, Management, Vice President, Framework, Operation, Risk Manager
-
Vice President of Account Management
4 weeks ago
Tampa, United States Get It Recruit - Executive Full timeJoin a Leading Healthcare Analytics Company Account Management TeamAt our pioneering Lab Insights company, we are dedicated to transforming healthcare through advanced analytics and proactive care solutions. As a key member of our team, you will play a crucial role in ensuring client satisfaction, retention, and growth within your designated portfolio. This...
