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Senior Vice President, Network Management

Company: SCAN Health Plan
Location: Long Beach
Posted on: September 12, 2020

Job Description:

Senior Vice President, Network Management Senior Vice President, Network Management

Long Beach, CA

Full-time

About SCAN

As one of the nation’s largest not-for-profit Medicare Advantage plans, serving more than 200,000 members in California, SCAN Health Plan has been a mission-driven organization dedicated to keeping seniors healthy and independent for over 40 years. SCAN employees are passionate about what they do, and understand that success is based on achieving the mission. Employees are afforded with the training and tools necessary to do their jobs and are rewarded for their efforts and recognized as experts in their fields. To learn more, visit  scanhealthplan.com or follow us on social media: LinkedIn ;  Facebook ;  and Twitter .

The Job

Responsible for the overall financial and regulatory performance of SCAN’s provider network. Develops and implements the strategic direction for SCAN’s network and oversees network management operations to build and maintain a high performing provider network.

You Will

Defines long-term strategic goals for SCAN’s provider network and develops clear plans to achieve them.

Oversees operations that develop and maintain positive relationships and financially viable contracts with medical providers. Engages contracted network leaders and establishes and maintains positive business relationships. Negotiates contracts with high priority providers.

Collaborates with the SCAN Sales organization to execute company growth initiatives through the acquisition of new networks, providers, and vendors.

Accountable for provider performance related to financial, operations, regulatory, quality, and member satisfaction targets and other performance-related priorities. Ensures providers understand and commit to performance goals.

Leads key initiatives and collaborations that involve network partners.

Works across the SCAN organization, with clinical and administrative areas, to develop and deploy provider systems, standards, policies and procedures to improve network performance.

Oversees Network administrative functions, including budget management, internal and external audit, regulatory compliance, contract administration, and policy and procedure enforcement.

Collaborates with SCAN senior leaders to establish and achieve financial and membership growth targets. Contributes as a corporate leader by providing recommendations, direction and support of short and long-term company strategies.

Directs and supports staff to achieve organizational goals by communicating job expectations, planning, monitoring and appraising job results, coaching and counseling, driving increased employee engagement, and developing and maintaining succession plans.

Other duties as assigned.

Your Qualifications

Bachelor’s Degree in Business Administration, Public Health, Public Administration or related field of study required

Master’s degree in Health Care or Business preferred.

10+ years of experience in Managed Care with provider management and contracting is required.

5+ years of experience in an executive level position required.

Expert knowledge of Medicare Advantage Products.

Knowledge of industry standards, current trends and their application to a Medicare Advantage plan.

Sound business and financial judgment with problem-solving abilities.

High commitment to customer service.

Executive presence and the ability to communicate at the Board Level.

Exceptional interpersonal skills and excellent oral and written communication.

Proven ability to interact effectively with all levels of the organization.

What's in it for you?

A competitive compensation and benefits program

An annual employee bonus program

Robust Wellness Program

Generous paid-time-off (PTO)

Ten paid holidays per year

Excellent 403(b) Retirement Saving Plan with employer match

Business Casual attire

Robust employee recognition program

A work-life balance and much more!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

SCAN is an equal opportunity employer and it is our policy to abide by all federal, state and local laws prohibiting employment discrimination. All qualified applicants will receive consideration for employment.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: SCAN Health Plan, Long Beach , Senior Vice President, Network Management, Other , Long Beach, California

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