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AmeriHealth Caritas · 1 month ago

Vice President Provider Network Management

Southfield, MI

Full-time

Hybrid

Director/Executive

10+ years exp

AmeriHealth Caritas is a mission-driven organization with over 30 years of experience in healthcare solutions. They are seeking a Vice President of Provider Network Management to lead strategic direction and manage high-performing market networks, ensuring effective provider partnerships and satisfaction.

Health CareInformation Technology

H1B Sponsor Likely

Responsibilities

Leads comprehensive provider contracting strategy to achieve cost-efficient and high-performing network

Lead development and execution of provider engagement model to drive market leading provider satisfaction

Ensure strong financial performance by identifying cost-saving opportunities, ensuring competitive provider contracts, and enhancing value-based care

Drives member outcome improvement on top priority quality measures through partnership with & incentives for providers

Ensure strategic alignment with state Medicaid agenda and compliance with provider related aspects of state contract

Leads and manages provider network team to ensure high performance, accountability, empowerment & engagement

Qualification

Managed care contractingProvider network managementReimbursement methodologiesBusiness managementNegotiation experienceHealthcare AdministrationHealthcare ManagementMedicaid experienceProject management

Required

A bachelor's degree in Business or health-related disciplines such as Healthcare Administration or Healthcare Management or equivalent business experience

10 or more years of experience years of managed care provider contracting and reimbursement experience, including in-depth knowledge of reimbursement methodologies and contracting terms

Minimum 8 to 10 years of progressive business management and negotiation experience

Minimum 5 years of management experience, managing teams and project management

Travel as needed and in-person provider visits will be required

Preferred

Master's Degree preferred

1 to 2 years of Medicaid experience preferred

Benefits

Flexible work solutions include remote options

Hybrid work schedules

Competitive pay

Paid time off

Holidays and volunteer events

Health insurance coverage for you and your dependents on Day 1

401(k)

Tuition reimbursement

Company

AmeriHealth Caritas

Glassdoor3.4

AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.

Founded in 1982

Philadelphia, Pennsylvania, USA

10001+ employees

http://www.amerihealthcaritas.com

H1B Sponsorship

AmeriHealth Caritas has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (18)

2024 (17)

2023 (12)

2022 (14)

2021 (4)

2020 (11)