Vice President – Head of Payer Strategy

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🕒 6 days ago

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Logo of Ohio Chapter, American Academy of Pediatrics (Ohio AAP)

Ohio Chapter, American Academy of Pediatrics (Ohio AAP)

11 - 50 employees

Founded 1934

📚 Education

⚕️ Healthcare Insurance

🤝 Non-profit

Education • Healthcare Insurance • Non-profit

Ohio Chapter, American Academy of Pediatrics (Ohio AAP) is dedicated to educating and advocating for the health and well-being of children and adolescents in Ohio. The organization offers resources, training, and advocacy actions aimed at improving pediatric care, promoting vaccination, and addressing key health issues in the community. They also facilitate engagement among healthcare providers and families through various educational programs and initiatives focused on child health.

📋 Description

• Own national payer relationships and contract strategy • Negotiate multi-year rate renewals with Tier 1 payers • Accelerate behavioral health payer contracting in new states • Evaluate and build value-based care partnerships • Build payer performance dashboards and lead governance

🎯 Requirements

• 10+ years in healthcare payer strategy, network contracting, or health plan partnerships • 5+ years in senior leadership roles (VP, SVP, or Director-level) • Proven track record with Tier 1 payers • Direct experience negotiating multi- million dollar contracts • Multi-site healthcare experience • Multi-state contracting experience • Provider credentialing expertise • Strong financial modeling skills • Comfort with payer analytics and claims data • Value-based care experience

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