Associate Vice President Payer Contracting - Fee For Service

Imagine a career at one of the nation's most advanced health networks.

Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

Summary
This position leads strategic payer contracting initiatives to support the Enterprise's growth, financial performance, and quality outcomes. In partnership with senior leadership, this role develops and implements innovative payer relationships and next-generation contracting models.

Job Duties

• Leads regional payer–provider contracting strategies, including utilization, care and disease management, claims, and network development.
• Serves as single point of contact for senior leadership on assigned payers for all issues, demonstrating working knowledge of the Enterprise's Fee For Service, Payment Compliance and Value Based Reimbursement strategies.
• Prioritizes the work for the Fee For Service team, facilitating collaboration with Payment Compliance and VBR Contracting teams.
• Maintains awareness of payment compliance issues. Partners with finance, clinical, legal, and analytics teams to optimize performance and resolve complex issues.
• Builds and maintains strong relationships with payers and provider organizations.
• Collaborates with senior leadership to align contracts with enterprise goals.
• Ensures day to day operations support strategic objectives.

Minimum Qualifications

• Bachelor’s Degree Business, Health Administration, Finance, or related field
• 10 years Experience in leading significant negotiations on behalf of a health plan or health system. and
• 10 years Managing Teams and
• 10 years Strong contracting expertise in negotiating and managing agreements across diverse fee-for-service models, including Commercial, Medicare Advantage, and Managed Medicaid, ensuring compliance and optimizing reimbursement strategies.
• Skilled negotiator with excellent quantitative, oral and written communication skills that have been tempered through complex managed healthcare contract negotiations.
• Ability to handle multiple projects and perform independently under tight deadlines with a focus on effective implementation, clear and consistent communication and follow-up.
• Energetic, collaborative and mission-oriented, with a track record of creating collaborative, transparent provider-payer relationships
• Deep understanding of industry trends and analyses; ability to turn insights into organizational roadmap for market expansion and innovative contracting strategy.
• Proven ability to think strategically, problem solve and create momentum through ambiguity.
• Ability to thrive in a fast-paced, agile work environment with high expectations and accountability.
• Requires comprehensive leadership and decision-making skills, a demonstrated aptitude for analytical thinking and an ability to report findings in an accurate manner.
• Requires the ability to work effectively with all levels of management and physicians.
• Solid foundational knowledge of Value-Based contracting and Delegated Credentialing processes

Preferred Qualifications

• Master’s Degree Business, Health Administration, Finance, or related field

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

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Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

Work Shift:

Day Shift

Address:

707 Hamilton St

Primary Location:

One City Center

Position Type:

Onsite

Union:

Not Applicable

Work Schedule:

Monday-Friday; 8:00a-4:30p

Department:

1004-13076 CSS-Payer Contracting