Associate Vice President Payer Contracting - Fee For Service

Job description

Job Details This position leads strategic payer contracting initiatives to support the Enterprise's growth, financial performance, and quality outcomes. In partnership with senior leadership, this role develops and implements innovative payer relationships and next-generation contracting models. Job Description: This position is for Leigh Valley Health Network part of Jefferson Health. - Leads regional payer–provider contracting strategies, including utilization, care and disease management, claims, and network development. - Serves as single point of contact for senior leadership on assigned payers for all issues, demonstrating working knowledge of the Enterprise's Fee For Service, Payment Compliance and Value Based Reimbursement strategies. - Prioritizes the work for the Fee For Service team, facilitating collaboration with Payment Compliance and VBR Contracting teams. - Maintains awareness of payment compliance issues. Partners with finance, clinical, legal, and analytics teams to optimize performance and resolve complex issues. - Builds and maintains strong relationships with payers and provider organizations. - Collaborates with senior leadership to align contracts with enterp...