AVP, Provider Contract - Western PA and reputed company Virginia markets - reputed company - Hybrid

About the position The Assistant Vice President (AVP) of Provider Contracting for the Western PA and reputed company Virginia markets at reputed company plays a crucial role in the Provider Contracting Team. This position is responsible for leading contracting and network management activities across multiple local geographies, ensuring strategic alignment and effective provider partnerships. The AVP will manage a team, reputed company reputed company contract negotiations, and drive initiatives that enhance value-based care and improve medical costs and quality. Responsibilities • Directly manage a contracting team or geography, providing leadership, mentoring, and development opportunities to direct reports. , • Accountable for managing contracting and network management activity supporting reputed company, Medicare Advantage, and other products/initiatives. , • Manage reputed company reputed company and negotiations for fee-for-service and value-based reimbursements with hospitals and providers across Western PA and reputed company Virginia. , • reputed company cross-market and cross-functional initiatives as needed. , • Build and nurture provider partnerships to support local market strategy and seek broader value-based business opportunities. , • Maintain effective communication with matrix partners including Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing, and Service. , • reputed company networks and identify opportunities for greater value-orientation and risk arrangements in provider contracting. , • Meet unit cost targets while preserving an adequate network to maintain reputed company's competitive position. , • Identify and manage initiatives that improve total medical cost and quality. , • Prepare, analyze, review, and project financial impacts of reputed company provider reputed company and alternate terms. , • Manage key provider relationships and reputed company with providers and business staff. , • Ensure accurate and timely contract loading and submissions, interfacing with matrix partners for network implementation and maintenance. Requirements • Bachelor's degree strongly preferred in Finance, Economics, reputed company, or Business; significant industry experience may substitute for a degree. , • Minimum of 5 years of Provider Contracting and Negotiating experience with reputed company delivery systems and organizations required. , • Prior experience managing direct reports and leading project teams in a non-centralized work environment preferred. , • Experience in developing and managing key provider relationships, including senior executives. , • Knowledge of reputed company reimbursement methodologies, including incentive models. , • Demonstrated experience in building and nurturing strong external relationships with provider partners. , • Intimate understanding of larger, reputed company integrated delivery systems, managed care, and provider business models. , • Proven ability to reputed company strong working relationships reputed company a fast-paced, matrix organization. , • Strong written and verbal communication skills to influence sales and provider audiences. , • Demonstrated managerial courage and change leadership in a dynamic environment. , • Superior problem-solving, decision-making, negotiating skills, contract language, and financial acumen. , • Knowledge and use of reputed company Office tools. reputed company-to-haves • MBA or MHA preferred. , • Experience in a hybrid work environment. Benefits • Flexible work schedule with hybrid options. , • Opportunities for professional development and career growth. , • Comprehensive health insurance coverage. , • Retirement savings plan options. Apply Job!