Vice President

• Direct the provider network and contracting activities
• Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management
• Oversee the coordination and negotiation for the contracting department
• Establish the department's strategic vision, objectives, and policies and procedures
• Develop, implement and maintain production and quality standards for the Contracting department
• Oversee network development staff and external consultants in the development of provider networks across expansion markets
• Perform periodic analyses of the provider network from a cost, coverage, and growth perspective
• Provide leadership in evaluating opportunities to expand or change the network to meet Company goals
• Manage budgeting and forecasting initiatives for product lines to networks costs and provider contracts
• Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations
• Conduct periodic review of provider contracting rates to ensure strategic focus is on target with overall Company strategy
• Support market expansion and M&A activities by leading provider contract analysis related to due diligence
• Assist health plan CEO and/or COO vendors in key provider relations and strategy
• Ability to travel

Vice President, Network Development – Contracting

VP, Securities Based Lending

Vice President – Emerging Technologies

Vice President, Macroeconomic Model Development, Scenario Expansion

AVP, Technical Manager

Vice President, GCO Americas