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VP of Payer Contracting

Millennium Physician Group
Fort Myers, FL
  • Expired: November 27, 2021. Applications are no longer accepted.

VP of Payer ContractingMillennium Physician Group is currently searching for an experienced, executive level candidate to fill the position of VP of Payer Contracting. This individual will report to the Chief Value Based Officer and will be located in Fort Myers, FL. He/she will lead the development and execution of a comprehensive payer contracting strategy across all payers and all lines of business working with executive leadership to assure that MPG's payer contracts support the achievement of the overall organizational financial and operating goals.

Formed in 2008, Millennium Physician Group has grown into one of the largest comprehensive independent physician groups with more than 550 healthcare providers located throughout Florida. In addition to primary care offices, Millennium provides ancillary services for our patients including Imaging, Lab, Physical Therapy, Pharmacy, Inpatient Services, and an Ambulatory Surgery Center. We are also a national leader in value based initiatives including Medicare ACOs (MSSPs), Medicare Advantage, and Commercial contracts.

The VP of Payer Contracting will manage the responsibility of contracting with all payers, including contracts for value-based arrangements(VBA) and traditional fee-for-service (FFS) contracts, and coordinating the contract terms with the applicable departments for implementation of all contracts. This role will help in identifying and prioritizing payer relationships, assessing risk profiles, and negotiating optimal risk-based contracts with health plans, including contract review, negotiation of terms, and strategic positioning. They will be responsible for negotiating contracts for related entities such as Millennium Home Health and the ambulatory surgery center(s).The VP of Payer Contracting, in conjunction with the finance and value-based finance areas, will lead the development of pricing strategies, reimbursement terms, and contract modeling to offer in-depth understanding of managed care contract policies and value for contracts through pre and post implementation.

Additionally, they will lead in the development of value-based care strategies and initiatives to assess value-based payment models, evolving healthcare payment reforms, and payment methodologies. They will collaborate across the organization to develop and implement value propositions and own the responsibility to identify and prioritize the strategic initiatives related to healthcare economics and contract compliance, ensuring those are delivered. They will coordinate and build consensus with key stakeholders for developing Millennium's analytics and reporting functions, specifically to support payer contract evaluation and negotiations, reimbursement projections pricing strategy, and contract performance and optimization, along with contract compliance across the entire MPG payer portfolio.

Given Millennium's growth trajectory, focused on creating a national platform to new geographies and states; contracting activities will accelerate substantially in volume, financial impact, and complexity so this role is ideal for a candidate who thrives in a complex, fast-paced environment. For more information on this exciting opportunity, please see the full job description.

Millennium Physician Group

Address

Fort Myers, FL
33994 USA

Industry

Business

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