Vice President, Managed Care

Primary City/State:

Phoenix, Arizona

Department Name:

Managed Care-Operations

Work Shift:

Day

Job Category:

General Operations

A network with resources for leaders with vision. Our leaders are at the front of the health care transformation, planning the future of Banner Health. If changing health care for the better sounds like something you want to be part of, we want to hear from you.

Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is a strategic leadership role responsible for the growth, development and optimization of the healthcare system's managed care contracting strategy across the organization, including joint ventures and partners. The role will lead strategic oversight of managed care contracting, encompassing comprehensive payment models from traditional fee-for-service to advanced value-based arrangements. It will focus on developing innovative payment strategies, enhancing revenue optimization, and ensuring alignment with organizational financial objectives. The VP will ensure that our contracting efforts align with the organization’s strategic goals and that we maintain positive, productive relationships with payers, including commercial insurance, government programs (Medicare, Medicaid), and other third-party providers, while serving as the primary advisor to the senior leadership team on these matters. This position is responsible for serving as a role model to staff across the system and representing Banner in a positive manner both within and outside the organization. Promotes a collaborative, open, and inclusive work environment within a highly matrixed organization.

CORE FUNCTIONS

1. Provides leadership in development, implementation, and oversight of system-wide/regional standards, programs, and/or systems to achieve desired and integrated strategic business initiatives, objectives, and outcomes including, but not limited to, growth, accountability and patient care.

2. Directs, supervises, and evaluates the work of staff. Holds management staff accountable for achieving plans and performance targets. Works with them to identify and resolve the most complex issues and problems impacting initiatives and operations. Develops staff to ensure continued professional growth and to provide the competencies the company needs to support its growth and long-term success. Articulates and demonstrates an expectation for continuous quality improvement utilizing processes that include consideration of all stakeholders. Fosters an environment that focuses on processes and outcomes.

3. Builds and supports effective collegial relationships with applicable internal and external stakeholders and organizations, ensuring and fostering a high level of collaboration in order to develop partnerships, coordinate activities, review work, exchange information, and/or resolve problems. Promotes and models positive relationships among various entities.

4. Oversees the development, implementation, and consistent application of effective organizational policies and practices. Participates in maintaining an effective internal control environment to ensure that assets are safeguarded, policies and operating procedures are followed, necessary controls are effective and efficient, proper compliance with existing laws and regulations achieved, and operations comply with the legal and regulatory parameters in which it operates.

5. Develops, reviews, and monitors financial and performance outcomes to assure attainment of organizational objectives established by corporate leadership and the Board of Directors. Maintains an effective budgeting and capital planning discipline in conjunction with operational management to ensure planned revenues, expenses, and/or profit goals are met.

6. Directs the development and integration of new and innovative operations and/or services by providing leadership that maximizes management staff’s contributions and assures timely decision-making reflective of the mission, vision, and values of the system.

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