Vice President, Payor Strategies
at Northbay Healthcare

Date Posted: 7/17/2019

Job Description

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Vice President, Payor Strategies
Full Time, FTE:  1
Administration Center
Fairfield, CA (GreenValley)

Job Summary:

The Vice President, Payor Strategies will play a critical strategic and tactical leadership role within NorthBay Healthcare and be a key member of the system’s executive leadership team.  Develops and leads a strategic direction for managed care relationships and value-based/risk arrangements, identify current and potential threats to NorthBay’s existing revenue models, and develop strategies to counter such risks.

Negotiates and manages the breadth of NorthBay’s managed care contracts and relationships.  Will create and implement strategies to strengthen those relationships and identify vehicles beyond the traditional insurance plans for linking NorthBay with insured members of the community.  The VP leads strategy for NorthBay’ participation in value-based, alternative risk payment arrangements such as ACOs and bundled payments.



Education

  1. Bachelor’s degree required.
  2. Master’s Degree preferred.

Experience:

  1. Strong knowledge of healthcare reimbursement mechanisms and minimum 5-7years of experience in one or more healthcare organizations including a health plan, hospital/system, physician group, ACO, or leading healthcare consulting firm.  
  2. S/he should possess a strong knowledge of the healthcare landscape and regulatory environment in California or a similar heavily capitated market.
  3. The ideal candidate will possess both provider and payor experience.

Skills:

  1. Ability to manage details while developing the broader strategic vision; results-oriented, with the ability to meet deadlines and produce accurate work;
  2. A leader who takes initiative, can make challenging decisions and take ownership;
  3. Exhibits good listening skills and a highly collaborative approach to relationships both inside and outside the system;
  4. Demonstrates a problem-solving orientation; a creative thinker who seeks out opportunities and creates win-win solutions;
  5. Consistently exhibits an outstanding level of personal and professional integrity at all times.

Interpersonal:

  1. The NorthBay Way is a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Healthcare. The NorthBay Way principles consist of Caring, Communication, Collaboration, and Competence. 

#northbay



Job Snapshot

  • Employee Type: Full-Time
  • Location: Fairfield, CA
  • Job Type: Health Care
  • Experience: Not Specified
  • Date Posted: 7/17/2019

About Us

At NorthBay Healthcare, we are committed to upholding the health, wellness, and vitality of the California community members throughout Solano County and beyond. Tracing our roots back to 1960, we are the area’s only locally-based, locally-managed non-profit healthcare organization. Our presence as a leader in innovative healthcare solutions is made possible by a talented team of professionals who enjoy making a difference as well as a living. We call it “The NorthBay Way.” The principles that lead our work include:

  • Caring– be friendly, be helpful; treat others in the way they want to be treated. Be compassionate; demonstrate genuine concern for the well-being of others. Affirm the worth and potential of others, and encourage caring behaviors.
  • Collaborationhonor promises and commitments; work in a spirit of cooperation. Establish and maintain healthy interpersonal relationships. Appreciate and use the knowledge and experience of others; fully support decisions once they are made. Be fair, be equitable, and be aware in all actions affecting others.
  • Communication be consistent; earn and maintain the trust of others. Listen first; strive to understand events as they have meaning to others. Provide frequent, direct, and truthful communications. Ensure a clear and compelling purpose for the work that needs to be done. Show appreciation, recognize results, and celebrate accomplishments.
  • Competence – take personal responsibility for uncompromising levels of service, quality, and safety. Be accountable for problems that cross your path: do whatever it takes to do the right thing. Manage resources with prudence and responsibility; encourage innovation and risk-taking in others. Engage in lifelong learning to grow more skilled, professionally and personally.

We are pleased to present a variety of impactful, rewarding career positions for individuals with a variety of professional skills, goals, and experience – including clinical nurse specialists, computer systems analysts, medical and health services managers, nurse practitioners, registered nurses, and more. Join the NorthBay Healthcare Talent Network today to stay up-to-date on our openings as they continue to become available!

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