VP, Managed Care

Summary

Join Unlock Health as VP, Managed Care and develop, implement, and optimize managed care strategies for clients. You will work with agency executives to leverage contracts, handle dispute resolution and collections, and attract patients. Build client relationships through networking and business development, actively seeking new clients and closing deals. Responsibilities include managing a managed care consulting practice, identifying and securing new business, managing projects and teams, synthesizing data, and presenting to stakeholders. Lead and develop your team, establishing revenue strategies and managing channel partners. This role requires a Bachelor's degree, 15+ years of experience in managed care, and a proven track record in sales and leadership.

Requirements

• Experience managing a managed care consulting practice, including strategy, negotiations, analytics, value-based care (VBC) and the use of strategic communications to help solve difficult payor/provider issues
• Bachelor's degree required, master's preferred
• 15+ years of demonstrated success as a leader of managed care initiatives, strategy, VBC and negotiation, preferably in professional services, with selling experience
• Proven track record of selling professional services
• Strong contacts in the C-Suite and economic buyers within health systems and provider groups
• Strong experience in QA of team deliverables, including analytics outputs
• Willingness and ability to travel as needed
• Experience serving the needs of clients from smaller medical/physician groups to large and complex health systems
• Strong organizational and prioritization skills
• Proven analytical and critical thinking skills
• Exceptional written and verbal communication and listening skills
• Demonstrated change management expertise and experience positively influencing change in a variety of complex environments
• Team leadership experience

Responsibilities

• Develop and implement strategies to ensure that Unlock Health’s clients’ managed care contracts are optimized, and that every client has a portfolio of enhanced contracts that create sustainable performance over time
• Work closely with other agency executives to ensure that clients are leveraging their contracts, and administering those contracts, including dispute resolution and collections, to attract and retain the right patients that will create long-term sustainable performance
• Throughout all projects, develop client relationships that benefit the firm, including networking, ongoing business development, and sales opportunities for strategy of incorporating marketing and managed care data where appropriate
• The VP is equally responsible for business development activities of identifying new clients and closing those deals
• Identify prospects, developing a plan for each prospect and selling new business for at least 30 % of the practice’s annual revenue
• Manage complex managed care and strategy/revenue strategy projects and teams
• Synthesize complex managed care data sets and interpret qualitative and quantitative data and trends to deliver on project objectives and address client needs and business objectives
• Understand client needs, set clear project team direction, develop key deliverables, and present with impact to stakeholders inclusive of client and internal senior leadership. This will include presentations to large groups, at conferences, or in small groups representing Unlock and the managed care offerings
• Team leadership, including developing talent, direct supervisory responsibilities, coaching, and performance management
• Establish revenue strategies by product to include managed care contracting, negotiation techniques and market analysis while incorporating business development strategies, including the balance of Medicare, Medicaid, Exchange and Commercial business with fee for service, value-based care, and risk
• Manage channel partners to identify additional prospects, as well as convert prospects with channel partner services

Benefits

• Competitive Salary
• Health, Dental and Vision benefit packages to fit all types of lifestyles
• Life, Short- and Long-Term Disability Insurance paid 100% by the company
• FSA / HSA Options
• 401(K) with a generous company match program
• Flexible Paid Time Off
• Paid Parental Leave
• Hybrid and Remote work schedules available
• Employee Assistance Program (unlimited free telephonic counseling for a variety of issues such as mental health, financial support, and legal advice)
• Employee Referral Program