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VP of Network - Health Plan - REMOTE

Company: Job Juncture
Location: Hempstead
Posted on: September 22, 2019

Job Description:

We are searching for a VP of Network for a national health plan.-- The VP of Network will-- develop and implement a strategic plan for network services while providing direction into product development and operational improvements.-- Additionally the VP of Network will:

  • Manage the network to meet the needs of the business unit, clients and members.--
  • Ensures unit cost targets are met.--
  • Assures long term mutually successful provider relationships.
  • Directs all provider recruitment activities for national providers and provider vendors, including, free standing facilities like surgicenters, hospitals, and in-office providers.
  • Act in lead role in negotiations with key providers
  • Manages network staff--
  • Provide guidance on fee schedule development, underwriting and unit cost trend management.
  • Manages financials including control care cost trends and profitability--
  • Closely monitor ongoing provider performance changes in cost and utilization needs.--
  • Works collaboratively to support strategy for new products or product enhancement with
  • Develops and analyzes RFPs to support contracting initiatives.


    • Bachelor's degree in business, healthcare management or other applicable discipline, MBA preferred
    • 8+ years of progressive experience in healthcare management
    • 5+ years experience in health plan network management
    • Extensive experience managing complex health plan networks, including large hospital systems
    • Top leadership role in developing and managing a health plan network team.----
    • Strong working understanding of the national health care / health plan landscape

Keywords: Job Juncture, New York , VP of Network - Health Plan - REMOTE, Executive , Hempstead, New York

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