VP Payor Contracting

Women's Care

Women’s Care is a fast paced and growing specialty women’s health physician group founded in 1998 by a small group of obstetricians and gynecologists in Florida. The group is currently comprised of more than 100 outpatient locations across Florida, Kentucky, Arizona, and California where over 400 healthcare providers care for more than 760,000 patients annually. Their providers deliver more than 22,000 babies per year in addition to meeting the care needs for patients in need of obstetrical, preventive, and gynecological visits. The Women’s Care team always strives to offer their patients the highest level of care in obstetrics and gynecology, gynecologic oncology, urogynecology, and genetic counseling. Women’s Care’s vision is to provide comprehensive care for generations of women to deliver an exceptional patient-centered experience utilizing innovation and a team-based model of care. Women’s Care is focused on the goal of providing patients with best-in-class women’s health care by aligning to their core values.

Location

Tampa, Florida

Title

Vice President, Payor Contracting

Reporting Relationship

The Vice President of Payor Contracting will report to Kim Smith, Chief Financial Officer

Scope and Accountability

• Proactively manage relationships with commercial and governmental payors negotiating favorable contract terms
• Monitor and analyze payor trends and market conditions to stay ahead of the curve and adapt the contracting strategy as needed.
• Maintain effective communication with all stakeholders involved in Payor Contracting, including internal teams and external partners.
• Provide leadership, guidance, and mentorship to team members involved in Payor Contracting.
• Continuously evaluate and improve Payor Contracting processes to drive efficiency and effectiveness.
• To effectively address the enterprise's current and future needs, it is essential to possess a thorough understanding and familiarity with the No Surprises Act and any future policy implications
• Ensure compliance with all regulatory requirements related to payor practices.

Requirements

• Minimum of 10 years of experience in Payor Contracting and payor relations, with a track record of successful negotiations and contract management.
• Strong understanding of the healthcare industry, including reimbursement models, regulatory requirements, and industry trends.
• Excellent communication, negotiation, and interpersonal skills.
• trong analytical and critical thinking skills, with the ability to use data to inform decision-making.
• Experience working collaboratively with other departments and senior leadership.
• Demonstrated ability to lead and manage a team of professionals involved in Payor Contracting.
• Strong organizational and project management skills, with the ability to manage multiple projects simultaneously. Knowledge of commercial and governmental payors and their contracting processes.
• Bachelor's degree required.
• Demonstrated expertise in staying in tune to the latest payor landscape

They must also be focused on the following key points: The ability to build and manage relationships with Women’s Care colleagues at all levels in the organization is critical to success in this role. He or she must develop and maintain effective and trusting relationships with a wide variety of team members.

• Results Orientation: A strong individual who looks to win. Persistent, competitive and driven but within the framework of a team. Possess strong sales orientation and skills to build a growth-oriented business. Passionate, hands-on leader who thrives in a "roll up sleeves," fast growth environment to ensure the product is being leveraged in what can be contentious negotiations.
• Team Leadership: Ability to contribute individually while also having the capacity to build and manage a high performing support team.
• Highly Strategic Thinking and Communication: Ability to generate creative and transformational solutions from market intelligence; can easily and simply translate and evangelize ideas into action-oriented roadmap; exceptional critical thinking and problem-solving ability.
• Decisive: Uses understanding of organization's goals and strategies to make decisions that address key business threats and opportunities. Driven and persistent in these goals. Exceptional problem-solving skills.
• Presentation Skills: Possesses excellent presentation and communication skills. Makes concise, logical, fact-based presentations and well-founded recommendations to senior leaders. Excellent listener and penchant for being able to tell a compelling story to an audience or group of executives and customers.
• Flexibility: Able to excel with the ups and downs and imperfections of a growing business. Demonstrates judgment and adaptability. Flexible and responsive to change; creatively addresses issues and structures that may be needed to solve complicated issues.