Vice President of Managed Care

Company:

CompassusVP Managed Care Vice President of Managed Care About Compassus Compassus provides a continuum of integrated home-based services, including home health, hospice, home infusion, palliative, and personal care. Over 10,500 teammates and more than 300 access points nationwide provide high-quality care and manage patients’ advanced illnesses in partnership with health systems and long-term care partners. The Compassus Care for Who I Am culture reflects its unique care delivery model, which focuses on each person as an individual as well as a patient, to improve their quality of life in a meaningful way.

Learn more at  the Opportunity Reporting to the Senior Vice President Value-Based Care. The Vice President of Managed Care is responsible for modeling the Compassus values of Compassion, Integrity, Excellence,Teamwork, Innovation and promoting Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders.

In addition to leading a dynamic team. This role features extensive interaction with senior leaders across Contracting, Operations, Finance, Strategy, M&A, and ancillary business lines - providing excellent visibility

Key Responsibilities Payor Portfolio Evaluation and Management Evaluates the existing payor portfolio – start, renegotiate, or terminate relations as appropriate.

Leads payor negotiations and provides active coaching for direct reports who are leading negotiations

Manages and oversees the implementation process of contracts, including contract storage, organizational and team announcements, and coordination of action taken with other teams, including revenue cycle management, finance, accounting, growth, and operations.

Strategic Relationship Development Establishes and fosters executive relationships with health plans to advance value-based care goals, improved access for Compassus communities, and fair reimbursement.

Maintains high visibility to field leadership, including Divisional Presidents and Regional Vice Presidents.

Coordinates with field leadership in the execution of the recommended strategies across payor relationships.

Develops strategies and long-term relationship roadmaps to drive successful outcomes within a world evolving to value-based care.

Operational Excellence and Innovation Leads development and advancement of managed care capabilities with a focus on continued operational excellence.

Incorporates AI as appropriate to drive efficiencies. Cross-Functional Collaboration Collaborates with other shared services to address obstacles, identify improvement opportunities, and implement new solutions.

About the Best Candidates Dynamic Leadership:
Lead a high-performing team, shaping organizational success with strategies aligned to Compassus' mission and the 6 Pillars of Success.

High-Level

Collaboration:

Partner with senior leaders across key business functions to drive innovation and deliver impactful managed care solutions.

Strategic Oversight:
Play a pivotal role in developing long-term strategies for value-based care, while establishing and nurturing relationships with internal and external stakeholders.

Key

Job Requirements and Preferences Education Required :
Bachelor's degree required.

Preferred : MBA or advanced degree preferred

Experience

Preferred:
Five (5) to seven (7) years of work experience strongly preferred.

Preferred:
Experience in a strategy or project management role in an analytical environment (e.g. consulting, investment banking). Healthcare experience a plus, particularly with payors.

Work Environment and

Physical Requirements Physical Demands…