Be an early applicantLess than 25 applicants

Company

Lumeris · 22 hours ago

Value Based Care Contracting Vice President

United States

Full-time

Remote

Director/Executive

$175K/yr - $249K/yr

15+ years exp

Maximize your interview chances

ConsultingHealth Care

Insider Connection @Lumeris

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Oversees and ensures success of the function. Helps develop, support, and promote personal growth across the team. Accountable for the operations of the function, including workload distribution, goal setting, performance management, and development.

Develops, promotes growth, and ensures personal and team success for the function. Participates in team member recruiting, succession planning, career development plans, team member goal setting/review, DE&I initiatives, and other People & Culture related activities as needed.

Provides, develops, implements, and continually evaluates the strategic direction for the vision of the future state of the department(s). Develops strategic initiatives and techniques to ensure the company remains at the forefront of modern practice.

Guides and participate in high-stakes negotiations with payers to ensure favorable contract terms that align with Lumeris strategies.

Establishes and maintains strong relationships with payer representatives, serving as key point of contact for contract-related discussions and issue resolution.

Evaluates proposed contracts and assess financial viability, operational feasibility, and alignment with Lumeris strategies.

Develops and implements performance tracking mechanisms to monitor contract effectiveness and impact of payer contracts providing regular updates to SVP.

Supports the implementation of Lumeris ARO payer relations and contracting strategies that align with overall business goals.

Collaborates with internal and external partners to gather insights, align contract terms, and address contract related issues.

Provides expert knowledge of managed care and value-based care innovations to inform contract negotiations.

Creates meaningful impact on continuous improvement and scalability across all aspects of the organization. Oversees the creation, implementation, and evaluation of quality metrics, KPIs, data integrity standards, process improvement and strategic initiatives, and knowledge sharing.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Health Care AdministrationManaged Care Network DevelopmentValue Based Care ContractingContract ManagementBudget CreationResource AllocationExecutive LeadershipStrategic Relationship ManagementProcess ImprovementCollaboration Skills

Required

Bachelor's Degree in Health Care Administration or Business or related field or equivalent

15+ years of experience in managed care network development and provider relations/contracting management or the knowledge, skills, and abilities to succeed in the role

Significant people, program, or project leadership experience at an executive level

Expert knowledge Value Based Care Contracting, budget creation/management, resource allocation, and contract/vendor management

Exemplary business acumen, executive presence, and a demonstrated ability to create and enhance strategic relationship

Topnotch communication, collaboration, presentation, and negotiation skills

Distinguished ability to impact results in a high-performing and high-growth environment

High-caliber analytical skills with the proven ability to identify, develop, communicate, implement, and guide process improvements and strategic initiatives

Benefits

Medical

Vision

Dental

Well-being programs

401(k) with company matching

Life insurance

Paid time off including paid leave

Company

Lumeris

Glassdoor

2.7

Lumeris is an accountable care delivery innovation company that offers operational support, technology, and consulting services.. It is a sub-organization of Essence Group Holdings.

Founded in 2000

Saint Louis, Missouri, USA

1,001-5,000 employees