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Heritage Provider Network

Vice President, Contracting

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Position Summary: The Vice President of Contracting at HealthCare Partners (HCP) is a senior leadership role within the Network Relations department, responsible for driving growth, expanding membership, and strengthening strategic partnerships in targeted markets and lines of business. The VP will lead the ongoing evolution, coordination, and execution of initiatives designed to grow existing business, capture new opportunities, and enhance HCP’s market presence. This position plays a critical role in boosting financial performance, increasing organizational value, and elevating brand recognition over time. Key Areas of Focus • Maximizing Partner Value: Strengthen relationships with current provider and health plan partners to increase engagement, satisfaction, and mutual value. • Provider Contracting and Credentialing Oversight: Lead contracting and credentialing processes to ensure compliance, efficiency, and alignment with organizational goals. • Membership Growth: Expand membership through existing providers by identifying opportunities to broaden services, improve network utilization, and enhance care delivery. • New Provider Engagement: Identify, evaluate, and engage potential provider partners to expand HCP’s network and market reach. • Strategic Partnerships: Support the development of new health plan, product, or IPA partnerships, contributing to innovative care models and revenue growth opportunities. Essential Position Functions/Responsibilities: • Research, plan, and implement target market opportunities by developing a contracting strategy. • Oversee the credentialing process that ensures an effective approach to onboarding new providers. • Developing a systematized growth strategy, and lead in its execution. • Facilitate, advance, and evaluate relationships with PCP’s, Specialists, IPA’s or Health Plans from a data-driven perspective. • Develop the key metrics to ensure a high level of network adequacy. • Create and facilitate engaging presentations illustrating compelling value propositions. • Responsible for the effective integration of new providers into the Provider Engagement infrastructure. • Oversee the business development, providing leadership, and direction to ensure alignment with organizational objectives and performance expectations. • Work cross departmentally to manage logistics of new partnerships and expanded membership. • Provide oversight of provider contracting and credentialing activities in relation to HCP’s IPA. • Develop KPI’s, track performance and report metrics on provider satisfaction and implement performance improvement initiatives based off data driven analysis. • Develop and manage Network Development activities. • Ensure the provider network is adequate, cost effective, competitive, and meets regulatory requirements. • Participate in training sessions for providers and staff as needed. • Ability to travel approximately 50% of the time to providers’ offices. • Contribute to the achievement of HCP goals and objectives by performing other duties as assigned. • Perform other duties as assigned. Qualification Requirements: Skills, Knowledge, Abilities • Working knowledge of the New York healthcare marketplace, delegated arrangements, and value-based care. • Self-motivated, goal oriented, and mission driven. • Strong creative problem-solving ability. • Impeccable written and verbal communication skills. • Strong organization skills (ability to manage multiple projects, deadlines, and meetings) • Strong time-management skills. • Proficiency in data analysis and forecasting. • Fluency in Microsoft applications (PowerPoint, Word, Excel, etc.). Training/Education: • Bachelor’s degree or equivalent in business, management, healthcare, or related discipline, required. Experience: • 20+ years in healthcare management • 10+ years leadership experience • 10+ years of contract negotiation experience • Experience managing a provider network • Managed care experience highly preferred • Experience in business-to-business sales/partnerships • Project management experience

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