VP, Payer Relations
Scripps Health | |||
United States, California, San Diego | |||
Sep 24, 2024 | |||
Description
Why join Scripps Health? AWARD-WINNING WORKPLACE: * #5 in Fortune Best Workplaces in Health Care 2023 * #78 in 2023 PEOPLE Companies that Care * #95 in Fortune 100 Best Companies to Work for 2023 * Recognized by Newsweek as one of America's Greatest Workplaces for Diversity in 2024 * Nearly a quarter of our employees have been with Scripps Health for over 10 years. The Vice President, Payer Relations has enterprise level responsibility for providing strategic and operational leadership in the development and execution of all types of payer contracting programs and provider partnership strategies for all lines of business (including commercial, senior, fee for service and value based). This role serves as the face of the system to all payers and their partners. Will lead a cross functional teams that have substantial impact on quality, revenue and growth across all Scripps Health business units. The Vice President is expected to exercise independent judgment in the day-to-day management of the organization's contracting and managed care activities. O You will proactively support the Mission, Vision, Philosophy and Values of the Scripps Health organization and is sensitive and responsive to the unique cultures and deeds of the assigned business unit. O Ensure achievement of net revenue targets through contract negotiations with Commercial HMO/PPO payers, California Medi-Cal, Medicare Advantage Plans, County Medical Services, TriCare, and other purchasers. O Support business unit-specific and medical group-specific payer contract needs, such as Center of Excellence contracting for tertiary programs, physician relations for program development, and major "wholesale" payer relationships. O Apply financial and analytic acumen to work in order to achieve outcomes. O Supports physician network development and joint venture development through planning and payer contract support. O Maintain close working relationship with affiliated physicians and groups, including joint contracting, planning, and joint ventures. O Work with management to ensure that the staff is appropriately trained in order to maintain the highest level of effectiveness and efficiency. O As appropriate, play an advocacy role in the community as it relates to such issues as managed care regulations and government program reimbursement. O Ensure regional compliance with local, state and federal regulations and standards. O Is a member of executive leadership and promotes system wide strategies. O Perform other duties as assigned by the Executive Vice President, Chief Growth Officer. O In conjunction with peer executives, service line directors and finance prepare operating and capital budgets to ensure that the appropriate resources are allocated and invested to meet the health service delivery needs for assigned business unit. O Lead, consistent with Scripps management system, the development of key performance indicators, reporting of such and the development of management systems to ensure achievement of such KPIs for business units. O Responsible for ensuring that established financial and quality goals are achieved. O Participate in the formulation and/or update of the business unit operations and annual strategic plan. O Direct the formulation and/or update of the annual strategic plans for assigned business unit to fulfill the goals and objectives of the systems strategic plan. O Meet regularly with clinical staff leadership, the medical consultant, and independent physicians to ensure the integrity of professional and technical aspects of programs and services offered to achieve optimal clinical outcomes, patient satisfaction and efficiencies in resource consumption. O Maintain productive working relationships. O Provide the leadership necessary to ensure the business unit is responsive to the continuing healthcare needs of the communities it serves. O Ensure that the care of patients is of the highest professional quality and meets the standards prescribed by licensing and accrediting bodies of Scripps Health. O Provide leadership in corporate-sponsored project teams to achieve continuity in the system wide care continuum and supports performance improvement efforts at the business unit. This Vice President position is located at Scripps Health Administrative corporate office in La Jolla.
Qualifications
Required Education/Experience/Specialized Skills:
Preferred Experience:
Job
:
Leadership - Executive
Primary Location
:
Central San Diego County-SAN DIEGO-SCRIPPS CORPORATE OFFICES
Work Locations
:
SCRIPPS CORPORATE OFFICES
4275 CAMPUS POINT COURT
SAN DIEGO
92121 Organization
:
Scripps Health Corp
Job Posting
:
Mar 26, 2024, 5:25:06 PM
Benefit Status
:
FT - FULL-TIME WITH BENEFITS
Minimum Rate (USD)
:
0.01
-
Maximum Rate (USD)
:
500.00
In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer.
Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability. |