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Independent Living Systems, LLC · 3 months ago

Vice President, Provider Networks

Miami, FL, US

Full-time

Onsite

Director/Executive

10+ years exp

Independent Living Systems (ILS) is committed to promoting a higher quality of life for vulnerable populations. The Vice President, Provider Networks will shape and manage the strategic direction of provider network operations, ensuring high-quality, cost-effective care delivery through strong provider relationships and effective contract management.

Health Care

Responsibilities

Lead the development and execution of provider network strategies to meet organizational goals and regulatory standards

Manage contract negotiations and renewals with health care providers, ensuring favorable terms and compliance

Oversee provider network performance, including quality metrics, cost management, and member satisfaction

Collaborate with internal teams such as claims, medical management, and compliance to ensure seamless network operations

Build and maintain strong relationships with providers, industry partners, and regulatory bodies to support network growth and innovation

Analyze market trends and competitor activities to identify opportunities for network expansion and improvement

Develop and manage budgets, forecasts, and performance reports related to provider network operations

Lead, mentor, and develop a high-performing team focused on provider relations and network management

Qualification

Provider network managementContract negotiationHealth care regulationsData analytics toolsLeadership experienceHealth Administration degreeBusiness Administration degreeValue-based care modelsPopulation health managementHealth care management certification

Required

Bachelor's degree in Health Administration, Business, or a related field

At least 10 years of progressive experience in provider network management within the health care industry

Proven experience in contract negotiation and provider relationship management

Strong knowledge of health care regulations, payer-provider dynamics, and network adequacy standards

Demonstrated leadership experience managing cross-functional teams and driving strategic initiatives

Relevant experience may substitute for experience on a year-for-year basis

Preferred

Master's degree in Health Administration, Business Administration, or a related discipline

Experience working within managed care organizations or health plans

Familiarity with value-based care models and population health management

Certification in health care management or related professional credentials

Experience with data analytics tools and health care information systems

Company

Independent Living Systems, LLC

Independent Living Systems, LLC, offers a comprehensive range of clinical and third-party administrative services to managed care organizations and providers that serve high-cost, complex member populations in the Medicare, Medicaid and Dual-Eligible Market.

Founded in 2001

Miami, Florida, USA

501-1000 employees