November 6, 2024

Prime Health Services, Inc.

Franklin

FULL TIME

VP of Network Development - Not Remote

Description: ***NOT A REMOTE POSITION***
VP of Network Development leads and directs the Provider Contracting team to ensure contracting initiatives are successfully performed is responsible for developing and implementing the strategic initiatives for the department.
Essential Job Functions for the VP of Network Development

Directs the Provider Contracting team including hiring, disciplining, training/developing, evaluating, scheduling, etc. to ensure department is adequately staffed and functioning at desired capacity
May negotiate on various levels including, PHO/IPA networks, national contracts, hospitals, ancillary providers
Collaborates with the VP of Human Resources regarding staff issues involving policy violations, training/development, and performance management
Conducts regular meetings with the Provider Contracting team to review goals and objectives, individual performance stats, departmental/company updates/successes, and to recognize accomplishments of the team
Updates the CEO regarding the Department’s initiatives, successes, and statuses/challenges
Collaborates with (assigns leads) and serves as a resource to the VP of Hospital Contracting regarding contract pricing and approval
Meets on a regular basis with the Chief Operating Officer to ensure alignment of goals / objectives, to solicit input and feedback as needed, and provide departmental status update
Conducts quality reviews/audits of provider contracts agreements to ensure compliance

Requirements: VP of Network Development Education and Experience

A Bachelor’s Degree from an accredited college or university
10 + years of experience in healthcare management, provider contracting, or network development
5 + years in a senior leadership role within managed care, health insurance or a provider organization

Competencies of a VP of Network Development

Proven experience negotiating complex contracts with healthcare providers, hospitals and physician groups
Excellent communication skills (written and oral) and customer service/public relations skills
Experience working in a deadline driven, fast paced environment
Must be flexible, adaptable, and creative
Demonstrated time management, problem solving, and analytical skills
Strong interpersonal skills with the ability to work collaboratively with others
Demonstrated proficiency with Microsoft Office Suite (Word, Excel, Power Point).

Benefits

Medical Insurance (high deductible plan with an HSA)
Dental Insurance
Vision Insurance
Short-term and long-term disability paid by the company
Group term life paid by the company
PTO - 160 hours (4 weeks) with the ability to roll over 40 hours and cash out 40 hours at the end of the year
Fitbit program with monetary rewards
Employee recognition programs with monetary rewards
Corporate office amenities - specialty coffee machines, assorted tea options, smoothie bar, collaborative workspaces, fruit provide by company and an onsite market
Regular employee events such as potlucks, video game tournaments, door decorating contests, Mental Health Awareness Month activities, and a company carnival just to name a few of our past events

About Us
Prime Health Services (PHS) is a national medical cost containment company with a noteworthy PPO Network used by insurance carriers, TPA’s, self-insureds, and governmental entities. Our tech-focused nature allows clients to take advantage of the flexibility of customization while not compromising on bill processing speed. Since 2001, we have specialized in medical provider network development and offer clients a tailored approach to medical cost containment: quality health care at discounted rates.