Register
Recruit Create CV
Unfortunately, this job posting is expired.
Don't worry, we can still help! Below, please find related information to help you with your job search.
Related keywords
Some similar recruitments
Vice President Brand Marketing
Recruited by 1 Hotels 8 months ago Address Miami, FL, United States
Vice President Sales, Corporate And Commercial Memberships
Recruited by Exclusive Yachts 8 months ago Address Naples, FL, United States
Manager, Creative Strategy Jobs
Recruited by The Walt Disney Company 8 months ago Address Lake Buena Vista, FL, United States
Vice President, Marketing (Saloncentric)
Recruited by L'Oreal 8 months ago Address , Saint Petersburg
Vice President, Communications Strategy & Planning
Recruited by Universal Orlando Resort 9 months ago Address , Orlando, Fl
Vice President Of Integration And Business Ops
Recruited by hireneXus 9 months ago Address Orlando, FL, United States
Manager Of Content Strategy
Recruited by Ally 10 months ago Address Charlotte, NC, United States
Vice President Marketing Jobs
Recruited by Sycamore Brewing 11 months ago Address Charlotte, NC, United States
Vice President Marketing Jobs
Recruited by Capstone Hill Search 11 months ago Address Miami, FL, United States
Vice President Marketing Jobs
Recruited by Whet Travel 11 months ago Address Miami-Fort Lauderdale Area, United States
Vice President Commercial Strategy, American Liberty Div. (Remote Option)
Recruited by Southern Glazer's Wine & Spirits 11 months ago Address Miami, FL, United States
Vice President Marketing Jobs
Recruited by Paradise Grills 1 year ago Address Ocoee, FL, United States
Vice President, Marketing Orchestration & Integration
Recruited by Universal Orlando Resort 1 year ago Address , Orlando, Fl
Senior Vice President Of Business Strategy
Recruited by Moss & Associates (Construction) 1 year ago Address Fort Lauderdale, FL, United States
Director, Creative Strategy Jobs
Recruited by Chewy 1 year ago Address Plantation, FL, United States

Vice-President, Payor Strategy Jobs

Company

Orlando Health
Address , Orlando, 32806
Employment type FULL_TIME
Salary
Expires 2023-10-22
Posted at 8 months ago
Job Description
Position Summary:
At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond.

Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.

Job Summary
The Vice-President of Payor Strategy will develop strategic plans on all payors (Health Plans, Large Employers, & Networks) for all Orlando Health entities including but not limited to market intelligence, analysis and modeling, employer capture, financials, and growth potential.
Responsibilities:
Essential Responsibilties
  • Ensure RMCM goals are met included but not limited to annual revenue enhancement, cash performance, cost to collect, strategic pricing/reimbursement.
  • Intentionally grow executives and teams of Managed Care, Employer Solutions, and CVO to building robust leaders.
  • Oversees Employer Solutions Program (ESP) to foster strong relationships with brokers, employers, and networks to gain business intelligence, to drive volumes to Orlando Health and to optimize the financials and brand of Orlando Health.
  • Partner with other VPs and SVPs to develop new services, service lines, and payment models to reach growth, volume, and financial goals (10 by 30).
  • Serves as the Strategist for all Contract Negotiations to ensure Orlando Health achieves financial and operational goals with third party payors.
  • Strategizes with the CVO and physician executives to accommodate the growth and accuracy and timeliness of credentialing activities to achieve best practices in credentialing functions.
  • Collaborate with Orlando Health Physicians Executives to develop a strategy for education and ongoing communication on managed care and payor strategy.
  • Evaluate performance of all teams (Managed Care, ESP, CVO) to ensure goals are met including but not limited to performance metrics, customer experience & expectations, retention/turnover ratios, and engagement.
  • Identify and develop opportunities for Orlando Health physician and hospital executives to promote and grow specific service lines to achieve the financial objectives of the organization.
  • Collaborate with Orlando Health population health leaders to develop strategy and success mapping for opportunities for value-based contracts with payors and employees.
  • Strategize on ways to drive more commercial volumes to Orlando Health to improve commercial market share and strengthen Orlando Health’s financial position and brand.
  • Oversees executives and teams of Managed Care, Employer Solutions Program, and Credentialing Verification Organization to ensure achievement of strategic, operational, and financial goals.
  • Audits and ensures models, managed care performance and payor performance (volumes, growth, financials, etc.) are achieving service line goals and strategic plan developed.
Other Related Functions
  • Represents Orlando Health on and leads local and national regulatory and healthcare industry and managed care task forces/committees as necessary.
  • Represents publicly and serves as subject matter expert to Orlando Health for broker/employer interaction on healthcare utilization and benefits.
  • Works closely with other financial executives to strategize, predict and drive financial decisions for strategic plan and budgeting.
Qualifications:
Education/Training
  • Master’s degree in finance, Accounting, Business or related field.

Licensure/Certification
  • HFMA certification preferred.

Experience
  • Fluent in contracts language, terms, clauses, and best practices.
  • 15 years’ experience in health care or health care insurance
  • 10 years’ experience in managed care contracting with a large health system or managed care organization.