Area Vice President, Pharmacy Payor Contracting

13385 Enterprise Corporate - Managed Health Payor Contracting

Full time

Yes

40

This position will focus on payor contracting for retail and specialty pharmacies for the Enterprise.

Due to complex requirements, remote work is NOT permitted in: CA, DC, CO, CT, HI, MA, MD, MN, ND, NJ, NY, OR, RI, VT, WA and working Internationally.*

Pay Range:

$75.40 - $120.65

Essential Functions

• Leads team to meet the managed care contracting objectives of MHR and the System.
• Ensures appropriate negotiation planning is completed and presented.
• Develops contracting strategy to support the growth of the System through meeting the critical needs of affiliate facilities as well as supporting operational changes within owned facilities.
• Ensures MHR team members negotiates appropriate contract rates and language within established deadlines with financial results that meets or exceeds net revenue budgets and net margin targets to support the mission of the System.
• Provides the System with accurate and current managed care market intelligence; maintains a working understanding of local/regional/national trends, conducts competitive market assessments, changes and impact of regulatory environment, changes and impact of payor initiatives and provides other information to support MHR and the System initiatives.
• Ensure Managed Care Analytics team members accurately and timely completes all required analyzes and contract modeling to support Managed Care Contracting and Payor Relations activities.
• Oversees the development and delivery of standard contract metrics, reporting frequency, and delivery of Executive Summary report to measure portfolio performance.

Physical Requirements
Performs most work under normal office conditions. May include sitting for long periods, standing, driving, walking. Intact sight and hearing with or without assistive devices required. Require frequent verbal and written communications in English to payors, teammates, physicians, and others throughout the System.

Education, Experience and Certifications

Master's Degree required (MBA or MHA); will consider Bachelor's Degree with experience in a comparable position within a like size or larger organization. 7 years experience as a contract negotiator required; willing to consider 10 years combined provider and/or payor experience as a contract negotiator. Proven track record of closing negations on time and at or exceeding budget expectations. Closed negotiations for a major payor/major system required; experience with multi-entity system and/or large physician multi-specialty group preferred.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.