Legacy Health

Vice President, Payor Strategy and Contracting

Job Location System Office 1919 Building
Position Status Regular Full-Time
Requisition ID
19-7365
City
Portland
State/Province
OR
Department
Reimbursement
Avg Hours Per Week
40
FTE
1.00
Pay Range
Commensurate with Experience
FLSA Status
Exempt
Bonus/Relocation
Relocation only
Union
Non-union
Work Days
Mon-Fri, no weekends

Overview

You understand what it takes to develop a comprehensive payor contracting strategy and how critical those negotiations are to the sustainability of a health care organization committed to making life better for others. You can help us fulfill that mission as you oversee the development of payor contract strategy for all lines of business, with a focus on innovation while maintaining the financial integrity of the company.  If you want to use your talents to make a difference in the lives of our patients and the community we serve, we invite you to consider this opportunity.

 

Legacy Health is a regional six hospital health system with 13,000 + employees, including a new state-of-the-art children’s hospital, offering a full range of primary and tertiary care services for both adults and children at sites throughout the Portland metropolitan and southwest Washington areas. Legacy Health is known for its commitment to quality patient and family-centered care and team-oriented work environment.

 

We strive to be a diverse, culturally responsive organization, and encourage individuals with diverse backgrounds and those who promote diversity and inclusion to apply.

 

Interested candidates please submit an online application along with your resume and cover letter.  If you have questions please contact Mandie Thorson at mthorson@lhs.org.

Responsibilities

The VP, Payor Strategy & Contracting is responsible for all aspects of payor contracting for Legacy Health. This includes but is not limited to, development of contract strategy, negotiation, analysis and administration of all fee-for-service and risk/incentive-based payor contracts. This responsibility includes all hospitals, the employed physician division, joint ventures, Legacy Health Partners, and any other operating divisions of Legacy Health. The position also serves as the Legacy representative in all contracting discussions with the PacificSource/Legacy relationship. The VP, Payor Strategy & Contracting is responsible for the financially viable and timely negotiation and execution of all payor contracts for all lines of business, including but not limited to Commercial, Medicare Advantage and Medicaid. The individual has the authority to bind Legacy Health to the terms of all contracts negotiated. Certain strategic contracts may require the approval and signature of the Chief Financial Officer.

 

The Vice President leads the organization in innovation of payor contracts that advances Legacy in its efforts to move toward more value-based reimbursement while ensuring the financial integrity of the contracts and not placing the organization at undo risk.

 

The Vice President maintains key relationships with the VP of Care Transformation and leadership within Legacy Health Partners and PacificSource. The Vice President represents Legacy in all payor relationships.

Qualifications

Education: Master’s degree in Health Care Management, Public Health or Business Administration required. Relevant experience may be substituted for educational requirements.

 

Experience: Ten years’ experience in payor contracting for either a payor or delivery system required. Experience in value-based contracting required. Negotiation experience required. Minimum of seven years’ experience in a leadership position. 

 

Skills: Excellent communication skills, both verbal and written. Outstanding negotiation skills. Ability to work with people at all levels of the organization. Ability to maintain professionalism in difficult and sensitive conversations where stakeholders may disagree. Excellent strategic thinking skills. Outstanding organizational and analytical skills. Knowledge and understanding of financial implications of various contracting structures. Demonstrated knowledge of managed care and value-based care principles. Knowledge and experience with risk-based contracting structures and of contract language. Knowledge of different healthcare rate structures and payment methodologies.

 

LEADING AT LEGACY 

Demonstrates the ability to act consistently with Legacy’s Values in Action, exemplifies our core organizational values, and exhibits the leadership competencies outlined in Leading at Legacy.

 

Equal Opportunity Employer/Vets/Disabled

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