VP, Network Management & Operations (Nevada Health Plan)

Job description

Job Summary Provides executive strategy and leadership to team responsible for network operations and contracting activities. Supports network strategy and development with respect to adequacy, financial performance and operational performance. Also responsible for negotiating complex contracts that are strategically critical to plan/product success, including but not limited to: alternative payment models (APMs), value-based payment (VBP) contracts and capitated payments for hospitals, independent physician associations (IPAs), and complex behavioral health arrangements. Establishes and maintains a distinct high-performing and adequate network of compassionate and culturally sensitive providers aligned with Molina's mission, vision and values. Ideal candidates would reside in Nevada or be open to relocating to Nevada. Essential Job Duties: - Supports executive strategy development, vision and direction for the network function. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised. - Develops and implements provider network and contract strategies - identifying specialties and geographic locations to concentrate resources for th...