VP Managed Care and Value Based Contracting- Executive Office- Hybrid Position

Job Description

Job Description

Reporting to the Chief Executive Officer (CEO), the Vice President, Managed Care and Value Based Contracting serves as FPI’s point person for payer contracting and operational payer related issues (Federal, State and delegated) as well as managing all activities and aspects required for the organization to meet regulatory requirements for clinical quality reporting in collaboration with departmental leadership. Performs ongoing payer assessments and analyzes impact to FPI. Oversees payer relationships, contract negotiations, compliance, optimization of payer agreements, and the implementation of value-based programs. Develops and executes contracting strategies, managing relationships with payers, and ensuring successful integration of value-based initiatives. Plans for the successful execution of all FPI practice projects related to EQIP, ECIP, MD PCP, PCMH and MIPS program registration and attestation for all eligible clinicians. Serves as central contact to coordinate FPI payer contracts and UMSOM clinical department business development initiatives. Establishes collaborative relationships with SOM clinical department leadership and the UMMS office of managed care. Partners with executive leadership in setting strategic goals and aligning the quality vision for the organization while ensuring financial health.

EDUCATION and / or EXPERIENCE

• MBA or MHA in related field combined with minimum ten years of managed care experience
• Minimum 7 years of leadership experience
• Experience with payer contracting and / or credentialing required
• Knowledge of back and front office operations
• Knowledge and understanding of FPI contracts
• Knowledge of inpatient, critical care, emergency and / or outpatient procedures
• Current knowledge of Athena IDX / EPIC or similar software
• Knowledge of ICD-10 and CPT coding
• Strong customer service skills
• Experience with provider enrollment; inclusive of : 1. NPPES, 2. PECOS and payer credentialing processes preferred

Total Rewards

The referenced base salary range represents the low and high end of University of Maryland’s Faculty Physician’s Inc. salary range for this position. Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education / training and other qualifications. University of Maryland Faculty Physician’s Inc. offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here : https : / / www.umfpi.org / jobs / summary -employee-benefits.