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UCSF Health · 3 months ago

Vice President, Health Plan Strategy and Managed Care, Chief Contracting Officer

San Francisco, CA

Full-time

Onsite

Director/Executive

$282K/yr - $593K/yr

10+ years exp

UCSF Health is a leading healthcare institution committed to innovative patient care and advanced technology. The Vice President, Health Plan Strategy & Managed Care & Chief Contracting Officer will establish strategies for managed care partnerships, oversee negotiations, and ensure access for plan enrollees, while also contributing to the execution of the UCSF Clinical Enterprise Plan.

BiotechnologyEducationHealth CareHospitalMedical

Responsibilities

Establish strategies for developing the financial, programmatic and operational long term plans for managed care and health plan partnerships

Oversees negotiations of substantial importance and impact across the health system

Responsible for negotiation and management of all UCSF Health’s contracted payer relationships (commercial, governmental and large at-risk referring medical groups)

Develop contracting strategies to engage community providers and expand UCSF Health’s growing regional footprint

Responsible for developing and executing managed care contracting strategy for commercial and governmental transplant Center of Excellence (COE) contracts, risk-bearing Accountable Care Organization (ACO) collaborations, and Health Insurance Exchange (HIE) products

Ensure commercial, Medicare Advantage seniors and Medi-Cal Managed Care plan enrollees can access UCSF from both local and regional markets

Responsible for all contract modeling, financial performance assessment and negotiation support (business, legal and financial)

Monitor actual contract payments/compliance

Work closely with UCSF’s office of Population Health and UCSF’s dyad partners to evaluate and improve the cost effectiveness of care delivery

Ensure contracting strategies are aligned with and actively support the achievement of optimal patient care

Play a critical role in the execution of the UCSF Clinical Enterprise Plan

Qualification

Health plan strategyManaged care contractingContract negotiationStrategic planningHealthcare industry experiencePolicy developmentData analysisLeadership skillsInterpersonal skillsProblem solvingCommunication skills

Required

Master's degree in related area and / or equivalent experience / training

10 years of experience as a leader in health plan strategy or related experience in the healthcare industry

Exceptional ability to translate highly technical knowledge of contracting theory and Managed Care industry trends, into the role of the department in generating revenue for the medical center, and strategic business concepts. Ability to apply functional area expertise to abstract concepts and make effective real time decisions

Knowledge of relevant Managed Care industry federal, state and local laws and regulations. Applies expert policy and organization knowledge to develop improvements to Managed Care policies and processes

Innovative leadership skills to motivate and influence others. Ability to establish mission and goals at the macro level, reconcile department and organizational goals, align subordinate management to work towards those goals and inspire managers to develop industry leading Managed Care services

Proven ability to propose improvements to the Managed Care operations for use of information technology. Ability to assess the impact changes in computer application programs would make on the organization's productivity and quality

Expert ability to lead strategic planning and implementation for a multi-faceted health system

Highly sophisticated skills in strategy development, systems planning and change management, anticipating issues and responding in an agile way. Expert business development skills to successfully develop and negotiate managed care contractual arrangements

Interpersonal skills to maintain professional relationships with organization and industry leaders. Ability to work collaboratively with all levels of employees and managed care partners through soliciting and incorporating their ideas when appropriate, promoting others, and managing conflicts to achieve win-win situations

Innovative problem solving abilities to assess intangible variables and think critically to evaluate fundamental issues and identify innovative, industry leading solutions. Expert ability to synthesize and analyze complex data and issues and to crisply articulate the impact

Highly-advanced verbal and written communication, facilitation and presentation skills, and a highly persuasive style