Vice President - Contracting, Reimbursement & Revenue Integrity
EDUCATION/EXPERIENCE REQUIRED:
- Bachelor’s Degree in Finance or Health Care Administration, required. Master’s Degree and Certified Public Accounting experience preferred.
- Ten years of progressively more responsible experience in contracting and reimbursement, 5+years of senior leadership experience preferred.
- Extensive experience & knowledge in:
- Value-based care models, including bundle payment negotiation, pay-for-performance initiatives, shared savings, risk pools, and capitation.
- Negotiations with C-Suite executives internally as well as externally in the employer and payer arenas.
- Aligning strategic partnerships between contracting and medical management, clinical and administrative operations.
- Regulatory environment changes.
- Extensive knowledge of language interpretation in managed care contracts.
- Rate methodologies utilized for Hospitals, Physicians, ASCs and Insurance companies.
- Ability to communicate in clear, concise terms.
- Well-developed conceptual and analytical skills.
- High level of interpersonal, management and organizational skills.
- Ability to motivate teams to produce quality materials with tight timeframes and simultaneously manage several projects.
- Maintains expertise in reimbursement methodologies and regulatory changes as they apply to payor contracts.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.
Benefits
The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health 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.