Vice President - Provider Network Management - Health Alliance Plan
QUALIFICATIONS & EXPERIENCE:
路 Education: Minimum Bachelor鈥檚 degree in Business Administration, Healthcare Administration or related field with a relevant advanced degree (MHA or MBA) preferred.
路 At least 10 years of relevant health plan experience; with demonstrated competency in strategy development, negotiations, execution and implementation of contracts.
路 Minimum five (5) years of relevant management experience.
路 Demonstrated or equivalent experience in developing and managing networks to support comprehensive health insurance products.
路 Demonstrated financial acumen and experience using medical cost and other data and information as the basis for making sound decisions in contracting, as well as in the delivery of medical management, quality management and related improvement programs.
路 Experience working closely and effectively with physicians, hospitals, and other healthcare providers, with a preference for experience in integrated delivery systems.
路 Proven leader with a demonstrated ability to lead and influence the direction of large scale enterprises.
路 A strong leader with proven ability to identify the need for change, anticipating, recognizing and creatively addressing resistance to change; working with others to view change as a challenge and opportunity for growth.
路 Complete understanding of Medical Loss Ratio (MLR) cost drivers and a demonstrated success in managing the medical cost component of the MLR.
路 Demonstrated or equivalent experience in leading all aspects of provider network activities, including network development, provider contracting strategies and negotiations, and provider servicing and relations which will facilitate the creation and maintenance of a high performing, accountable and engaged provider network.
路 Strategic influencer who drives agreement through intellect, interpersonal and negotiation skills.
路 Proven ability to attract, build, mentor and direct a high-performing cohesive and well-integrated team.
路 Understanding of the business environment and community, as well as trends and issues which will, or could potentially, influence the organization鈥檚 business performance.
Overview
HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, 聽 聽 聽 聽 聽companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.
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Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation鈥檚 oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region鈥檚聽聽
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan鈥檚 fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit聽HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. 聽Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. 聽My Choice Rewards is a program as diverse as the people it serves. 聽There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. 聽As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services.聽Employee's聽classified as contingent status are not eligible for benefits
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.