Oh Snap!
This job is no longer active - but you can still view the details below.

VP, Payor Contracting

| Chicago

Description

At VillageMD, we are committed to helping patients achieve greater health by delivering the most effective, accessible and efficient healthcare in the world through partnership with primary care physicians. We are in a unique position to impact everyone in primary care from independent, familyowned practices to world-class health systems. We leverage a tested model of care that combines valuebased contracting, data-driven decision-making, ancillary services development, and the capital needed for success. Establishing strategic partnerships with provider organizations and payers across the nation, our goal is to innovate for the future while retaining the best aspects of the traditional practice of medicine. 

Integral to our team, the VP of Payor Contracting will be accountable for driving successful payor partnerships through development and execution of agreements that support the VMD business model, particularly our physician partners and patients served. This individual will be responsible for both leading and supporting payor negotiations with an emphasis on building strong, collaborative payor relationships that support innovative reimbursement structures to advance the best interest of high quality, affordable patient care. 

What you might do in your first year: 

• Negotiate complex, value-based payor agreements, and own the strategic development and oversight of provider contracting in assigned territories 
• Develop and implement the contract structures and reimbursement methods and rates for all professional, institutional, ancillary and vendor providers in assigned territories 
• Work closely with Operations team members to ensure that key provider support processes are well functioning 
• Negotiate and improve upon stop loss provisions 
• Improve deal terms for quality measures 
• Partner and participate in business development efforts and initial outreach 
• Form strong, collaborative, working relationships across multiple payor organizations to advance innovative reimbursement arrangements that support advancement of quality and affordability of care 

What will make you successful here? 

• Ability to be proactive with strong personal initiative as well as highly organized and detail oriented. 
• Effectively contributing to building collaborative payor relationships that result in advantageous contract arrangements 
• Understanding of medical cost trends that drive gains and losses across risk pools 
• Ability to navigate within ambiguity, a service orientation, and a high level of humility are vital for successful assimilation into our highly collaborative, entrepreneurial culture 
• Strong knowledge of Medicare Advantage bid process and payor funds flow 
• Knowledge and understanding of health plan network operations preferred 
  
What you bring to VillageMD: 

• Demonstrated track record of building strong working relationships across operational leaders and potential payor partners. 
• Bachelor’s degree in Business required 
• Minimum of 10 years in progressive roles required 
• Demonstrated analytical, project management, and leadership skills 
• Experience modeling payor contracts 
• Knowledge of value based contract methodologies and preferred financial and administrative terms 
• Experience negotiating quality and efficiency metrics preferred 
• Ability to think independently, and develop new processes/analyses required 
• Strong organizational skills with the ability to multi-task and execute against multiple competing priorities 
• Proficiency in Excel, PowerPoint, and Word required 

At VillageMD, we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Read Full Job Description

Technology we use

  • Engineering
    • JavaLanguages
    • JavascriptLanguages
    • PythonLanguages
    • RLanguages
    • SqlLanguages
    • ReactLibraries
    • FlaskFrameworks
    • Node.jsFrameworks
    • Microsoft SQL ServerDatabases
    • Neo4jDatabases
    • PostgreSQLDatabases
    • RedisDatabases
    • TeradataDatabases

Location

We are in the heart of downtown Chicago - accessible to all trains and plenty of food/drink options nearby!

An Insider's view of VillageMD

What's the biggest problem your team is solving?

Aggregating disparate data into one consumable interface is difficult. We constantly think about how to solve it faster and better while keeping it flexible and scalable.

Mario

Senior Data Engineer

What makes someone successful on your team?

It’s an individual’s willingness to get into the details, fully understand the current health care delivery , and think critically about the problems that face primary care providers today, that will make them successful at VillageMD.

Dave

Director, Product Development

What’s the vibe like in the office?

The office vibe is centered on holding our work to high standards while maintaining an environment focused on fun and . My coworkers and I will often be working on completely unrelated projects, but when we hit a roadblock we step back and ask each other for feedback and help. That’s usually when we find the best solution to .

Emily

Healthcare Informatics Analyst

What are VillageMD Perks + Benefits

Health Insurance & Wellness Benefits
Dental Benefits
Vision Benefits
Health Insurance Benefits
Onsite Gym
Retirement & Stock Options Benefits
401(K)
401(K) Matching
Child Care & Parental Leave Benefits
Generous Parental Leave
Flexible Work Schedule
Remote Work Program
Vacation & Time Off Benefits
Generous PTO
Paid Volunteer Time
Perks & Discounts
Casual Dress
Commuter Benefits
Company Outings
Stocked Kitchen
Happy Hours
Recreational Clubs
Professional Development Benefits
Job Training & Conferences
More Jobs at VillageMD15 open jobs
All Jobs
Data + Analytics
Dev + Engineer
HR
Operations
Product
Project Mgmt
Operations
new
Chicago
Developer
new
Chicago
Developer
new
Chicago
Project Mgmt
new
Chicago
Data + Analytics
new
Chicago
Data + Analytics
new
Chicago
Data + Analytics
new
Chicago
Project Mgmt
new
Chicago
Project Mgmt
new
Chicago
HR
new
Chicago
Data + Analytics
new
Chicago
Data + Analytics
new
Chicago
Product
new
Chicago