Vice President of Provider Strategy in Remote at Beacon Health Options

Date Posted: 8/9/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic VP of Provider Strategy to join our team in NY, NJ, or CT location!  The VP of Provider Strategy Under the direction of the Regional Chief Partnerships Office, the VP, and Provider Strategy will drive the development and deal-related execution of complex provider programs that drive value for Beacon, our clients, our providers, and our members. This VP will leverage a deep knowledge of issues related to healthcare reimbursement to develop data-driven innovative programs with providers that address regional pain points and establish Beacon as a leader in value-based care transformation. The VP will lead regional provider strategy initiatives, from in taking and prioritizing client and legislative demands, through to provider identification and engagement, program development, and contracting. This person will navigate Beacon’s matrix structure to engage and coordinate cross-functional Beacon stakeholders in program design and to build a business case for potential investment based on program implementation requirements.

Externally, this person will own the relationship with deal partners, and should be experienced in complex negotiations. There must be an ability to persuasively communicate deal elements, value proposition, and all supporting analysis. During the contracting process and once a deal is contracted, this person must ensure resources are in place on all sides to deliver the program by securing necessary investments from all parties.

This employee must reside and work in the State of NY, NJ, or CT.  There is flexibility for the person to work from home.

Position Responsibilities:

  1. Partner with Beacon leadership to develop and implement advanced market level provider strategies.  Drive implementation through direct team and matrixed shared-service partners.
  2. Successfully lead Beacon’s compliance with state VBC requirements including, but not limited New York DSRIP and Pennsylvania.
  3. Proactively identify and engage target providers who are candidates for innovative partnership models that address regional needs, such as pay-for-performance, bundled payments, payments to support accountable care organizations, hospital value-based purchasing, and various other alternative payment models
  4. Drive collaborative design of innovative partnerships with providers that will deliver value to the behavioral health system through improved outcomes, decreased costs, or other metrics
  5. Lead contract development and negotiation for complex provider deals and innovative partnership models, engaging cross-functional Beacon stakeholders as necessary to get to the right answer that benefits Beacon, our clients, our providers, and our members
  6. Leverage deep quantitative and qualitative market intelligence to ensure that deal execution is informed by comprehensive and robust strategic analysis
  7. Lead forecasting of deal financials and inform key assumptions to ensure appropriate foundational and growth assumptions (leveraging Corporate Strategy and/or Actuarial teams as necessary)
  8. Develop strong provider relationships built on trust and collaboration. Manage provider expectations throughout the development and negotiation process.
  9. Articulate and communicate a strong value proposition for proposed partnership models in order to secure necessary approvals and investments both internally and from all deal participants
  10. Leverage strong knowledge of regional State and Federal regulations, laws and legislative agendas regarding healthcare industry that impact Beacon and our provider network in order to improve partnership models
  11. Deliver improved client and provider satisfaction through the execution of strategic programs
  12. Contribute to the development of a repeatable model for value-based payment development, for example by collaborating with Beacon internal stakeholders as well as Provider Strategy leads across regions in order to share best practices
  13. Ability and willingness to travel extensively throughout the region (CT, NY, NJ, PA, MD, DC)


Position Requirements:

Education:    Bachelor’s degree required, with advanced degree preferred (specifically MBA, MPH or MSW).

Relevant Work Experience:

  • Ten-twelve (10-12) years of progressively responsible professional experience, with at least three (3) of those years with a client-facing role
  • Three-five (3-5) years healthcare payor (including managed care) experience preferred
  • Three-five (3-5) years provider negotiations experience
  • 2+ years of enterprise-wise program management experience
  • 2+ years’ experience with design & implementation of successful value-based payment or other alternative payer-provider arrangements
  • Experience and comfort with financial model and detailed data analysis

Knowledge, Skills & Abilities:  Intermediate level knowledge, skill, and ability to expert and proficient level knowledge, skill, and ability in the following:

  • Microsoft Word, Excel, PowerPoint, Project
  • Analytical and problem solving ability; Interpersonal communication skills; Verbal and written communication skills; Group presentation and public speaking skills; Collaboration and a team-oriented work philosophy

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Strategies, LLC. a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled

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