About This Role
Job Description:
This leader is responsible for leading the development and execution of proactive care payer and the corresponding down-stream provider contracts and strategies across Intermountain Health. This role is a key member of the Proactive Care Support Services (PCSS) executive team and will oversee implementation of these proactive care contracts coordinating closely with the broader Intermountain contracting strategy team, and ensuring provider contracts align with payer contracts. This role will also help monitor contract performance and coordinate with leaders across PCSS to ensure appropriate focus and resource allocation for optimal performance. Lastly, this role is accountable to lead Intermountain’s participation in CMS ACO programs.
Essential Functions
- Develop and implement Proactive Care (Value-based Care) payer contracts to support Intermountain’s mission, vision, and values.
- Develop and implement Proactive Care (Value-based Care) provider and network contracts to align with the payer contracts and regional strategies and which support Intermountain’s mission, vision, and values.
- For both payer and provider value-based contracting, this role is responsible for the execution of contracts which align with each region’s strategies and priorities.
- Payer relationships are primarily managed by the VP of Payer Contracting. This role will be the executive accountable to lead and develop all proactive care aspects to those relationships.
- Provider relationships are primarily managed by the region leadership teams. This role will be the executive accountable to lead and develop the contracts which support network contracting associated with the payer contracts.
- Coordinate with other PCSS and finance leaders in developing and executing provider incentive programs designed to optimize performance in value-based contracts and create proper alignment across the network.
- Analyze contract performance and identify opportunities for improvement and growth.
- Lead Intermountain’s participation in CMS ACO programs
- Monitor and evaluate market trends, payer policies, regulatory changes and competitive intelligence. Coordinate with and support Intermountain government relations teams as it relates to revenue-related payment programs.
- Member of the PCSS executive team.
Skills
- Leadership
- Contracts
- Negotiation
- Analytics
- Network development
- Relationship Building
- Problem solving
- Communication
- Strategy
Minimum Qualifications
- Bachelor’s degree in business, healthcare administration, or related field required. Master’s degree preferred. Degree must be obtained through an accredited institution. Education is verified.
- Experience in payer contracting, managed care, value-based care, and/or health plan operations
- Demonstrated success in building and maintaining effective relations with providers, payers, and other stakeholders.
- Demonstrated proficiency in contract negotiation and conflict resolution.
- Demonstrated experience in leading and managing high performing teams, projects, and budgets
Preferred Qualifications
- 10 years management level experience
- 5 years of successful executive level leadership experience
- Work experience in an integrated healthcare system
With this position, you are eligible to participate in the Annual Pay for Performance (AP4P) Plan. This plan enables Intermountain Health to provide leaders with an additional performance compensation opportunity. The AP4P award opportunities are calculated as a percentage of your base salary. Awards are paid out based on attainment of selected Board-approved goals.
Location:
Key Bank Tower
Work City:
Salt Lake City
Work State:
Utah
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$102.53 - $158.26
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.