Associate Vice President of Managed Care jobs in United States
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Baptist Health System KY & IN · 5 days ago

Associate Vice President of Managed Care

Baptist Health is looking for an Associate Vice President, Managed Care to join their Managed Care Department. This position is responsible for developing and implementing a business development strategy for third-party payers and driving revenue for the company while managing relationships with those payers.

Health Care
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H1B Sponsor Likelynote

Responsibilities

Developing and implementing a business development strategy for third-party payers, including Commercial, Medicare and Medicare Advantage, Medicaid and Medicaid MCOs, and/or any other assigned payer sector or program
Driving revenue for the company, developing partnerships with managed care organizations, capitalizing on the geographic scope of BHS and optimizing value propositions within the payer community
Providing strategic leadership, financial and administrative oversight of contracting with third-party payers on behalf of the system working directly with BHS leadership
Management of overall third-party relationships, establishing and achieving contracting goals and strategies, and negotiating and supporting all contracts with third-party payers for Baptist Health's business units, as well as the Clinically Integrated Network (CIN) and ACO
Ensuring that the privacy and confidentiality of patient information is maintained
Managing the facilitation and implementation of activities related to the privacy and security of protected health information (PHI)

Qualification

Managed Care experienceData analysisLeadership experienceExcel proficiencyMedicare knowledgeBusiness AdministrationHealth related fieldCPT codingICD-10 knowledgeDRG understanding

Required

Bachelor's Degree in Business Administration, Finance or health related field required
10 years of experience within Managed Care with 3+ years of that experience in a leadership role
Proficiency in Excel and ability to be trained in and understand how to optimize large data applications such as Qlik and Strata
Direct experience with Medicare and other types of payment methodologies and understanding of ICD-10, DRG and CPT coding sufficient to perform job responsibilities
Strong analytical skills to process and understand large and complex sets of data

Preferred

Master's level degree in Business Administration or health related field strongly preferred

Company

Baptist Health System KY & IN

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Founded in 1924 in Louisville, Kentucky, Baptist Health is a full-spectrum health system dedicated to improving the health of the communities it serves.

H1B Sponsorship

Baptist Health System KY & IN has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (4)
2023 (2)
2022 (3)
2021 (20)
2020 (6)

Funding

Current Stage
Late Stage

Leadership Team

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Stephen Hanson, MPH, FACHE
Chief Executive Officer
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Richard Carrico
Chief Financial Officer
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Company data provided by crunchbase