Lehigh Valley Health Network · 1 month ago
Associate Vice President Payer Contracting - Fee For Service
Allentown, PA
Full-time
Onsite
Director/Executive
10+ years expLehigh Valley Health Network is a nationally recognized health organization offering opportunities for impactful work. This position leads strategic payer contracting initiatives to support the Enterprise's growth and financial performance, developing innovative payer relationships and contracting models.
Hospital & Health Care
Responsibilities
Leads regional payer–provider contracting strategies, including utilization, care and disease management, claims, and network development
Serves as single point of contact for senior leadership on assigned payers for all issues, demonstrating working knowledge of the Enterprise's Fee For Service, Payment Compliance and Value Based Reimbursement strategies
Prioritizes the work for the Fee For Service team, facilitating collaboration with Payment Compliance and VBR Contracting teams
Maintains awareness of payment compliance issues. Partners with finance, clinical, legal, and analytics teams to optimize performance and resolve complex issues
Builds and maintains strong relationships with payers and provider organizations
Collaborates with senior leadership to align contracts with enterprise goals
Ensures day to day operations support strategic objectives
Qualification
Required
Bachelor's Degree Business, Health Administration, Finance, or related field
10 years Experience in leading significant negotiations on behalf of a health plan or health system
10 years Managing Teams
10 years Strong contracting expertise in negotiating and managing agreements across diverse fee-for-service models, including Commercial, Medicare Advantage, and Managed Medicaid, ensuring compliance and optimizing reimbursement strategies
Skilled negotiator with excellent quantitative, oral and written communication skills that have been tempered through complex managed healthcare contract negotiations
Ability to handle multiple projects and perform independently under tight deadlines with a focus on effective implementation, clear and consistent communication and follow-up
Energetic, collaborative and mission-oriented, with a track record of creating collaborative, transparent provider-payer relationships
Deep understanding of industry trends and analyses; ability to turn insights into organizational roadmap for market expansion and innovative contracting strategy
Proven ability to think strategically, problem solve and create momentum through ambiguity
Ability to thrive in a fast-paced, agile work environment with high expectations and accountability
Requires comprehensive leadership and decision-making skills, a demonstrated aptitude for analytical thinking and an ability to report findings in an accurate manner
Requires the ability to work effectively with all levels of management and physicians
Solid foundational knowledge of Value-Based contracting and Delegated Credentialing processes
Preferred
Master's Degree Business, Health Administration, Finance, or related field
Company
Lehigh Valley Health Network
Lehigh Valley Health Network, part of Jefferson Health, is proud to be part of a leading integrated academic health care delivery system.
10001+ employees
H1B Sponsorship
Lehigh Valley Health Network 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 (17)
2024 (17)
2023 (8)
2022 (11)
2021 (6)
2020 (5)
Funding
Current Stage
Late StageLeadership Team
Brian A. N.
President and Chief Executive Officer
Gregg Zahour
Vice President - CTO
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