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VP of Network Development

San Diego, CA · Healthcare
Vice President of Network Development - Managed Care
San Diego, CA
 
** Work from home most days - must be reside in greater San Diego area! **

VP of Network Development Job Summary:
  • Responsible for achieving regional financial metrics, benchmarks, membership targets and physician development goals, while ensuring quality and satisfying service to members, physicians and provider partners.
  • Develops and implements strategic expansion plans, executes revenue-driven initiatives in a highly competitive marketplace and achieves membership growth goals via retention & new growth.
  • Works closely with IPA/MSO clinical leadership to help achieve metrics while ensuring access and meeting regulatory requirements.
  • Responsible for ensuring compliance with company and regulatory requirements, mandates and ACA reform.
  • Identifies technology and procedure improvements for increased efficiencies, accuracy and continuous process enhancements.
  • Implements strategies across all lines of business considering product-specific factors to optimize patient care and network performance.
 
VP of Network Development Background:
  • Bachelor’s degree required, advanced degree preferred
  • 7+ years of experience in the healthcare industry, preferably with direct physician interaction
  • 5+ years of experience with management and metric management in a process and/or service environment
  • Strong computer skills, Word, Excel, Access, Power Point, and office equipment
  • IDX experience highly desirable
  • Strong written, verbal, and presentation skills
  • Working knowledge of federal and state legislation related to HMO & IPA entities
  • Proven success in achieving & surpassing key performance metrics, includingmembership growth, physician performance and financial targets
 
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Erik Berg
Executive Search Consultant/Account Manager

CareNational
erik@carenational.com
443.470.8240 (CALL – TEXT – FAX)
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