VP, Managed Vision Care Contracting Job in Ballwin, MO

at EyeCare Partners

EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com.

SUMMARY 

*Remote opportunity*

This position is responsible for proactively developing and executing Managed Vision Care contract strategies and tactics in collaboration with senior management; managing all payor contracts; familiarity with different types of payors; negotiating rates and other contract terms; financial analysis; liaison with payors; working in a cross-functional / departmental role with other areas of the organization; distributing contract and policy updates; resolving payment disputes and issues; building and developing a team responsible for executing, monitoring and reporting on the full range of contracting strategies; and other duties as required.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Establish and manage positive managed vision care payor and other third-party relationships 
  • Research and monitor changes in the payor environment (local, regional, national, CMS) to develop informed strategies
  • Develop and maintain a managed vision workplan tied to organizational and operational priorities
  • Model contract proposals, draft contract terms, review and recommend strategy, negotiate, and finalize new/renewed/renegotiated contracts
  • Provide managed vision subject matter expertise and educational tools to company operations and revenue cycle team regarding participation in payor programs and contracts
  • Evaluate contract performance to understand variances vs expected outcomes, recommend interventions and takes appropriate action
  • Monitor and maintain accurate complete payor files for timely and efficient reference and claim processing
  • Perform all duties while maintaining compliance with all appropriate regulatory requirements including HIPAA
  • Lead and develop a team responsible for executing, monitoring and reporting on the company's managed vision contracting strategies
  • Supervise, evaluate and develop employees through coaching, mentoring, and formal/on the job training and development opportunities.
  • Launching institutionalized communication channels to other affected parts of the organization (e.g., Finance, RCM, Operations, etc.) to ensure relevant contract terms and payor specifics are known across the organization

QUALIFICATIONS

  • 8+ years leading managed vision payor contracting or managed vision network development for a provider organization
  • Experience with strategy to drive improvements in payor access, quality and efficiency
  •  Experience building and developing a team - i.e., standing up the appropriate junior level resourcing, developing overarching strategy and direction, institutionalizing workplans, KPIs and goals
  • Unparalleled attention to detail and organizational skills - i.e., ability to develop clear and coherent organization structure for filing contracts and aligning fee schedules, ensuring negotiations and applications contain all relevant details
  • Ability to create processes, tools and policies from the start, with minimal foundation in place - i.e., centralized trackers and reference documents, state / payor specific processes
  • Experience with various national, state and government payors
  •  Strong communication skills: ability to synthesize relevant details to other parts of the organization, as well as keep an open and transparent line of communication to the Executive team
  • Collaborative spirit - a strong orientation to working with other parts of the organization, and synthesizing input from the Executive team in developing processes and strategies
  •  Demonstrate an unparalleled degree of trust given this role has a high degree of externally facing interaction with payors and other third parties
  • Highest ethical and professional standards