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Vice President Insurance Data Analytics Jobs in Florida

Lucky Strike Entertainment

VP, Amusements

Miami, FL · On-site

Overview The VP of Amusements owns amusement P&L performance and uses data and analytics to guide pricing, investment, and operating decisions, partnering closely with the SVP of Revenue Management ...

Nexdine Hospitality

Campus Vice President

Sarasota, FL · On-site

$125K/yr

Company-Paid Life Insurance * 401(k) Savings Plan * Paid Time Off: Vacation, Holiday, Sick Time ... Ensures organizational financial and community performance targets by analyzing unfavorable items ...

Nexdine Hospitality

Campus Vice President

Sarasota, FL · On-site

$125K/yr

Company-Paid Life Insurance * 401(k) Savings Plan * Paid Time Off: Vacation, Holiday, Sick Time ... Ensures organizational financial and community performance targets by analyzing unfavorable items ...

Lucky Strike Entertainment

VP of Amusements

Miami, FL · On-site

Overview The VP of Amusements owns amusement P&L performance and uses data and analytics to guide pricing, investment, and operating decisions, partnering closely with the SVP of Revenue Management ...

IRT Living

VP of Revenue Management

Tampa, FL · On-site

The Vice President of Revenue Management is a strategic and analytical leader responsible for ... Analyze supply, demand, market, and competitive data to identify revenue opportunities and risks ...

MUFG

Analytics & Reporting, Vice President

Tampa, FL · Hybrid

Overview The Analytics & Reporting, Vice President is a strategic leadership role responsible for ... The Vice President will lead complex data initiatives, transform large and diverse datasets into ...

HCA Florida Osceola Hospital

VP of Quality

Orlando, FL · On-site

... home insurance, identity theft protection, legal counseling, long-term care coverage, moving ... Master's degree in nursing or health-related field ​​Preferred​ * 3+ years data analysis in a ...

BPD

Senior Vice President, Growth

Boca Raton, FL · On-site

The SVP, Growth is a hands-on business development executive responsible for driving significant ... Lead sales of BPD's suite of data and analytics solutions, both as integrated offerings and ...

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Vice President Insurance Data Analytics information

What does a Vice President Insurance Data Analytics do?

A Vice President of Insurance Data Analytics oversees the development and implementation of data strategies to improve underwriting, claims management, and risk assessment. They analyze large datasets using tools like SQL and data visualization software, lead teams of data analysts, and collaborate with other departments to support business objectives and regulatory compliance.
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Vice President Insurance Data Analytics jobs near you

Vice President, Provider Networks

Independent Living Systems

Miami, FL • On-site

Full-time

Re-posted 6 days ago

Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

We are seeking a Vice President, Provider Networks to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Vice President, Provider Networks, plays a critical leadership role in shaping and managing the strategic direction of provider network operations. This position is responsible for developing and maintaining strong relationships with a diverse range of health care providers to ensure high-quality, cost-effective care delivery to members. The role involves overseeing network adequacy, contract negotiations, and provider performance management to optimize network value and patient outcomes. The Vice President will lead cross-functional teams to implement innovative strategies that align with organizational goals and regulatory requirements. Ultimately, this role drives the growth, efficiency, and sustainability of the provider network to support the organization's mission and business objectives.

Minimum Qualifications:

  • Bachelor’s degree in Health Administration, Business, or a related field.
  • At least 10 years of progressive experience in provider network management within the health care industry.
  • Proven experience in contract negotiation and provider relationship management.
  • Strong knowledge of health care regulations, payer-provider dynamics, and network adequacy standards.
  • Demonstrated leadership experience managing cross-functional teams and driving strategic initiatives.
  • Relevant experience may substitute for experience on a year-for-year basis.

Preferred Qualifications:

  • Master’s degree in Health Administration, Business Administration, or a related discipline.
  • Experience working within managed care organizations or health plans.
  • Familiarity with value-based care models and population health management.
  • Certification in health care management or related professional credentials.
  • Experience with data analytics tools and health care information systems.

Responsibilities:

  • Lead the development and execution of provider network strategies to meet organizational goals and regulatory standards.
  • Manage contract negotiations and renewals with health care providers, ensuring favorable terms and compliance.
  • Oversee provider network performance, including quality metrics, cost management, and member satisfaction.
  • Collaborate with internal teams such as claims, medical management, and compliance to ensure seamless network operations.
  • Build and maintain strong relationships with providers, industry partners, and regulatory bodies to support network growth and innovation.
  • Analyze market trends and competitor activities to identify opportunities for network expansion and improvement.
  • Develop and manage budgets, forecasts, and performance reports related to provider network operations.
  • Lead, mentor, and develop a high-performing team focused on provider relations and network management.


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