Senior Vice President of Managed Care

COMPREHENSIVE EYECARE PARTNERS LLC•Henderson, NV

About The Position

Comprehensive EyeCare Partners is one of the nation’s largest vision care management service organizations. CompEye consists of 12 separate physician practices with >100 physicians focused on providing best-in-class, full-spectrum practice management and administrative services to its affiliated physicians and practices in support of their mission to deliver clinical excellence. Our Mission: Building the nation’s preeminent eye care services company by partnering with world class physicians to drive superior clinical and surgical outcomes, while optimizing the patient experience. Position Summary Our Vice President of Managed Care overseas physician credentialing along with developing and maintaining long-term productive relationships with third-party payers, such as commercial and government payers, employers and other payer organizations in NV, WA, TX, & UT. They will also support and manage the operations of a NV based IPA.

Requirements

10+ years of managed care, value-based care, healthcare administration, or payer relations experience required.
10+ years of healthcare commercial payer strategies, pricing, reimbursement, and healthcare cost analysis required.
5+ years of experience in leading high performing, multidisciplinary teams.
Multispecialty practice operations experience required.
Fee-for-service and value-based care contracting experience required
Ability to develop relationships with high-level, decision-makers in the payer, third-party administrator, and specialty practice environments.
Ability to influence people, build relationships and collaborate.
Proficient in public speaking and facilitating large groups remotely.
Proficient in project management software.
Bachelor’s Degree required

Nice To Haves

Ophthalmology experience preferred.
Master’s in Business or Healthcare Administration preferred

Responsibilities

Leads a team of managed care and value-based care professionals
Develop and maintain payer relationships; identifying opportunities and programs to secure enhanced relationships, reimbursement, referrals, and market presence and support expansion of patient services.
Responsible for the successful negotiation and management of payer agreements.
Explores participation in new managed care contracts including novel payment models (i.e., case rate development, integrated networks, contract capitation, total cost of care initiatives, and shared savings models) and has a firm grasp on the analytics/practice impacts that support such payment models.
Partners with key stakeholders and subject matter experts to develop an understanding of new technologies, procedures, and therapies and to ensure that costs are appropriately reflected and reimbursed in managed care agreements.
Develop and evaluate contracts to optimize pricing and strategically align payer, practice, and physician incentives.
Supports the operations of an IPA
Responsible for professional development and guidance of all team members.