Vice President, National Network Development(Preferred Experience In Managed Care & Network Development)

Job Summary :

The Vice President, National Network Development is responsible for leading network expansion and implementation activities for new markets and products that are targeted for business development procurements, new product offerings and plan integrations.

Essential Functions

• Responsible for provider contracting including hospital, physician, ancillary, supplemental, non-traditional provider, LTSS and SDOH provider / partner contracting to facilitate optimal member access, successful business growth initiatives and sound plan financial performance as it relates to unit pricing in targeted states, regions, or markets
• Responsible for the development of networks in new markets or for new programs
• Responsible for gaining provider network participation commitments that can be included in RFP responses; may be required to complete provider network builds prior to RFP
• Develop a contracting strategy for various markets targeted for business development opportunities
• Effectively uses LOIs, LOAs contracts or other agreements as necessary through various stages of a procurement process
• Can drive outcomes to successfully meet network requirements for purposes of developing an RFP, meeting readiness review compliance, or other business deliverable as indicated
• Responsible for building compliant and saleable networks for Medicaid, Medicare and Marketplace for target markets in the business development pipeline
• Ensure a high level of network adequacy and compliance for readiness when a new market is awarded
• Ensure that the provider setup for new markets or regions is consistent with the CareSource standards
• Collaborate with Market Network team to transition management of the network to the Market once the Market goes live
• Willing to travel to achieve results in targeted markets and programs
• Performs any other job related duties as requested.

Education and Experience

Competencies, Knowledge and Skills

Licensure and Certification

Working Conditions

Compensation Range :

$150,000 - $300,000. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type : Salary

Competencies :

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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