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Envision Physician Services

Company: Envision Physician Services--
Location: New York
Posted on: February 25, 2021

Job Description:

VP, MANAGED CARE in Nashville, Tennessee - Careers at NASHVILLE 20 Burton Hills Blvd Skip Branding VP, MANAGED CARE in Nashville, Tennessee - Careers at NASHVILLE 20 Burton Hills Blvd Skip to Main Content Please Enable Cookies to Continue Please enable cookies in your browser to experience all the personalized features of this site, including the ability to apply for a job. Welcome page Welcome page Returning Candidate? Log back in! VP, MANAGED CARE Job Locations US-TN-Nashville Company Enterprise Requisition ID 2021-25738 Category Managed Care Overview Envision Physician Services--is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women's and children's health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services. As one organization, we now provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia.-- AMSURG is one of the largest owners and operators of ambulatory surgery centers ("ASCs") in the U.S. based on total number of facilities, with centers in 35 states and the District of Columbia. ASCs offer a lower cost yet high quality setting for a number of elective, high volume, lower risk surgeries that are increasingly being performed outside of the hospital setting. Envision operates 261 ASCs with 2,000 physician and advanced practitioner partners and 1,000 other affiliated physicians that perform 1.7 million annual surgical procedures, primarily in the areas of gastroenterology, ophthalmology, and orthopedics. AMSURG is a wholly owned subsidiary of Envision Healthcare Corporation, which is a national provider of healthcare services, offering a highly differentiated portfolio of clinical solutions through AMSURG and Envision Physician Services. The company offers a broad range of clinical and coordinated care solutions across the patient continuum. It has over 25,000 physician and advanced practitioner partners that provide clinical care to 30 million annual patient encounters across 45 states and the District of Columbia.We have an exciting opportunity for a VP, Managed Care supporting AMSURG in our Nashville, TN offices. Responsibilities The VP, Managed Care is responsible for managing payer contracting pertaining to a defined geography, i.e., managed care portfolio; advancing enterprise initiatives and integration; managing payer relationships pertaining to defined geography and underlying payer contracts; and, providing leadership to department staff providing contract support. Develop strategies for growing the managed care portfolio. Develop annual strategic plans to each state within the defined geography and managed care portfolio. Lead key payer negotiations the goals of growing the managed care portfolio; develop staff negotiation skills; mitigate OON participating status; advance value based pricing logic; and, deliver on key priorities.

  • Overall management of the regions managed care portfolio
  • Advance enterprise initiatives and integration
  • Monitor state and federal legislation related to payment initiatives, policy changes that could impact--negotiations with health plans
  • Provide leadership to the integration of new joint ventures, affiliations and partnership arrangements
  • Assess and review risks and opportunities across the enterprise related to payment reform, bundled payments, value-based payments, etc.
  • Develop tools and techniques that advance pricing objectives
  • Develop internal operating reports that quantify departmental and geographic portfolio performance
  • Establish and disseminate contracting guidelines with respect to third party payer contractual terms, reimbursement, provider enrollment and product participation.
  • Negotiating contractual and reimbursement terms with market payers
  • Conduct annual reviews of provider contracts
  • Analyze claim trend data and/or market information needed to support contract negotiations
  • Review and present financial data, utilization trends and patient mix needed to negotiate and re-negotiate payer contracts
  • Maintain knowledge of payer products, enrollment statistics, and trends
  • Understand and stay abreast of issues and events that may have an impact on business and industry
  • Work with the team on maintaining client satisfaction through internal and external communication
  • Identify contracting / payer disputes that may require legal action
  • Travel overnight and locally as needed
  • Regular and reliable attendance
  • Other duties as assigned
  • --Responsible for adhering to Information Security Policies and ensuring Envision is as secure as possible. Qualifications To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required. Education/Experience:
    • Master's degree preferred
    • Eleven (11+) years relevant experience required to include supervisory experience, significant managed care contracting experience with demonstrated ability in the areas of financial analysis, payment methodologies, contract language and negotiations
    • Equivalent experience considered
    • Bachelor's degree required We offer a comprehensive benefits package that includes--full Medical, Dental and Vision benefits effective on your first day of employment. A company matching--401 K, tuition reimbursement, company paid Life Insurance and Long-term Disability, as well as generous PTO and Paid Holidays If you are ready to join an exciting, progressive company and have a strong work ethic,--join our team of experts!--We offer a highly competitive salary and a comprehensive benefits package. Envision Physician Services--uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit--www.dhs.gov/E-Verify Envision Physician Services is an Equal Opportunity Employer. #CB #LI-TS1 Options Apply here for this job Apply Share Refer someone you know Refer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Loading... Connect With Us! Not ready to apply? Connect with us for general consideration. Application FAQs Software Powered by iCIMS
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Keywords: Envision Physician Services--, New York , Envision Physician Services, Healthcare , New York, New York

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