Senior Vice President Provider Network Strategy & Development - AmeriHealth Caritas
Newtown Square, PA
About the Job
AmeriHealth Caritas is seeking a talented, passionate Senior Vice President to lead our Provider Network Strategy and Development team.; The ideal candidate will have 10+ years of experience overseeing network strategy and development, provider engagement, contracting, and provider network management operations across multiple products.
Headquartered in Newtown Square, PA, Amerihealth Caritas is a mission-driven organization with more than 40 years of experience.; We deliver comprehensive, outcomes-driven care to those who need it most.; We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
We are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs.;
If you want to make a difference in a key leadership role, we'd like to hear from you.
The Role:
You will report to the Executive Vice President of Specialty Product and Network and will be responsible for providing comprehensive senior leadership and strategic vision to our provider network team to support our organization's ongoing growth and product diversification strategy.; You will lead provider network engagement and development efforts across all our products, with a keen focus on new market network builds, and will drive provider engagement activities.; Your scope of responsibility will include the management and development of new market entry and product expansion strategies including network composition and pricing as well as leading and operationalizing the contract build, pricing, and execution of the network growth plan.; You'll act as a thought and execution leader, providing the organization and individual markets with both the strategic and operational leadership necessary to analyze, design, implement, and leverage next level provider partnerships and programs.
You will oversee the areas of Corporate Network Policy and Planning, Network Strategy and Analytics, Network Development and New Business Activation, and Network Pricing.
The successful candidate will be a strong leader who demonstrates a deep understanding of network contracting.
Key Responsibilities
+ Manage the development of new market entry and product expansion strategies.
+ Oversee ongoing provider engagement.
+ Create a strategy to develop creative and innovative partnerships with providers, driving a differentiated value proposition and growth.
+ Design, develop, and implement market differentiating partnerships, driving profitable growth.
+ Lead the value proposition, network design, segmentation, research, product offerings, and pricing through the development of a strong analytics foundation.
+ Lead the integration of new, cutting-edge technology solutions to the network portfolio.
+ Create and enable a framework for innovation and measurement for all newly established products and services.
Location:;; Amerihealth Caritas is headquartered in Newtown Square, PA. If you are located outside this area, travel of approximately 25% will be required.
Required Experience and Education
+ 10+ years of progressive senior or executive management experience overseeing network strategy development, provider engagement, contracting, and provider network management operations across multiple products (Medicaid required, Medicare, Exchange/Marketplace, Commercial, PBM, Behavioral Health a plus)
+ Proven experience driving the overall Network Management strategy, structure and discipline across multiple products and markets.
+ Experience working within a complex business model and navigating through matrixed organizational structures.
+ Experience in the design and implementation of end-to-end integrated network management strategy for new as well as existing markets.
+ Strong financial acumen.
+ Proven ability to develop effective and excellent relationships at all levels of the company.
+ Bachelor's degree required; graduate degree in business, health care administration, finance or related fields preferred.
Diversity, Equity, and Inclusion
At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, competitive pay, paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement and more.
Headquartered in Newtown Square, PA, Amerihealth Caritas is a mission-driven organization with more than 40 years of experience.; We deliver comprehensive, outcomes-driven care to those who need it most.; We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
We are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs.;
If you want to make a difference in a key leadership role, we'd like to hear from you.
The Role:
You will report to the Executive Vice President of Specialty Product and Network and will be responsible for providing comprehensive senior leadership and strategic vision to our provider network team to support our organization's ongoing growth and product diversification strategy.; You will lead provider network engagement and development efforts across all our products, with a keen focus on new market network builds, and will drive provider engagement activities.; Your scope of responsibility will include the management and development of new market entry and product expansion strategies including network composition and pricing as well as leading and operationalizing the contract build, pricing, and execution of the network growth plan.; You'll act as a thought and execution leader, providing the organization and individual markets with both the strategic and operational leadership necessary to analyze, design, implement, and leverage next level provider partnerships and programs.
You will oversee the areas of Corporate Network Policy and Planning, Network Strategy and Analytics, Network Development and New Business Activation, and Network Pricing.
The successful candidate will be a strong leader who demonstrates a deep understanding of network contracting.
Key Responsibilities
+ Manage the development of new market entry and product expansion strategies.
+ Oversee ongoing provider engagement.
+ Create a strategy to develop creative and innovative partnerships with providers, driving a differentiated value proposition and growth.
+ Design, develop, and implement market differentiating partnerships, driving profitable growth.
+ Lead the value proposition, network design, segmentation, research, product offerings, and pricing through the development of a strong analytics foundation.
+ Lead the integration of new, cutting-edge technology solutions to the network portfolio.
+ Create and enable a framework for innovation and measurement for all newly established products and services.
Location:;; Amerihealth Caritas is headquartered in Newtown Square, PA. If you are located outside this area, travel of approximately 25% will be required.
Required Experience and Education
+ 10+ years of progressive senior or executive management experience overseeing network strategy development, provider engagement, contracting, and provider network management operations across multiple products (Medicaid required, Medicare, Exchange/Marketplace, Commercial, PBM, Behavioral Health a plus)
+ Proven experience driving the overall Network Management strategy, structure and discipline across multiple products and markets.
+ Experience working within a complex business model and navigating through matrixed organizational structures.
+ Experience in the design and implementation of end-to-end integrated network management strategy for new as well as existing markets.
+ Strong financial acumen.
+ Proven ability to develop effective and excellent relationships at all levels of the company.
+ Bachelor's degree required; graduate degree in business, health care administration, finance or related fields preferred.
Diversity, Equity, and Inclusion
At Amerihealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, competitive pay, paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement and more.
Source : AmeriHealth Caritas