University of California - San Francisco Campus and Health
Vice President, Health Plan Strategy and Managed Care, Chief Contracting Officer
University of California - San Francisco Campus and Health, San Francisco, California, United States, 94199
Job Overview
Vice President, Health Plan Strategy and Managed Care, Chief Contracting Officer Health Plan Strategy & Contracting • Full Time Job Code: 85991BR Job Summary
The Vice President, Health Plan Strategy & Managed Care & Chief Contracting Officer (CCO) at UCSF Health establishes strategies for developing the financial, programmatic and operational long-term plans for managed care and health plan partnerships, and strategic program and coverage expansion activities for the health system. This leader oversees negotiations of substantial importance and impact across the health system and reports to the SVP and Chief Financial Officer of UCSF Health. The VP/CCO is a member of UCSF Health's Senior Leadership Council (SLC) and a member of the System CFO's senior leadership team. The position is directly responsible for negotiation and management of all UCSF Health\'s contracted payer relationships (commercial, governmental and large at-risk referring medical groups), and for developing contracting strategies to engage community providers and expand UCSF Health\'s regional footprint. This includes the Community Integrated (physician) Network and regional hospital affiliations. Contracted entities include UCSF Medical Center (including Benioff Children\'s Hospital San Francisco and Benioff Children\'s Hospital Oakland), UCSF School of Medicine (SOM) Faculty Practice Organization, the Clinically Integrated Network (CIN), UCSF\'s Langley Porter Psychiatric Hospital, and related contracted physicians and networks. In addition to contracting responsibility, the VP/CCO develops and executes managed care contracting strategy for commercial and governmental transplant Center of Excellence (COE) contracts, risk-bearing Accountable Care Organization (ACO) collaborations, and Health Insurance Exchange (HIE) products. The role ensures commercial, Medicare Advantage seniors and Medi-Cal Managed Care plan enrollees can access UCSF from local and regional markets. The VP is responsible for contract modeling, financial performance assessment and negotiation support (business, legal and financial), including EPIC-based calculation of expected payments and monitoring actual contract payments/compliance. In support of UCSF\'s high-value system of care and the Canopy Health network, the position collaborates with UCSF\'s Population Health office and dyad partners to evaluate and improve cost-effectiveness of care delivery for assigned and referred enrollees. This ensures contracting strategies align with and support optimal patient care and long-term viability of UCSF Health. The role also contributes to the execution of the UCSF Clinical Enterprise Plan (5-year plan) expected to roll out in winter 2025, guiding the opening of new inpatient facilities through 2030–2031. The final salary and offer components are subject to UC policy and internal equity considerations. Salary range for this position is $281,700 - $593,100 (Annual). For more about UCSF benefits, visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html Location: San Francisco, CA • Campus: Mission Bay (SF) • Work Style: Flexible • Shift: Days • Shift Length: 8 Hours • Additional Shift Details: Onsite 3-Days per week. Department Description
UCSF Health\'s Department of Health Plan Strategy & Contracting provides strategic leadership and direction for all health plan and managed care contracting strategy, including execution and performance monitoring for UCSF Medical Center (Benioff Children\'s Hospital SF, School of Medicine FPO, CIN) and Benioff Children\'s Hospital Oakland (BCP medical foundation) and Langley Porter Psychiatric Hospital. Required Qualifications
Master\'s degree in related area and/or equivalent experience/training. 10 years of experience as a leader in health plan strategy or related healthcare industry experience. Ability to translate technical contracting theory and Managed Care industry trends into revenue generation and strategic business concepts; apply expertise to abstract concepts and make real-time decisions. Knowledge of relevant Managed Care laws and regulations; apply expert policy knowledge to improve Managed Care policies and processes. Innovative leadership to motivate and influence others; align department and organizational goals; inspire managers to develop industry-leading Managed Care services. Proven ability to propose improvements to Managed Care operations through information technology; assess impact of IT changes on productivity and quality. Expert in strategic planning and implementation for a multi-faceted health system. Advanced skills in strategy development, systems planning and change management; expert in business development and negotiations of managed care contracts. Interpersonal skills to maintain professional relationships with organizational and industry leaders; ability to collaborate across levels and manage conflicts for win-win outcomes. Analytical problem-solving to evaluate complex data and issues; ability to synthesize and clearly articulate impact. Highly-developed verbal and written communication, facilitation and presentation skills, with a persuasive style. Preferred Qualifications
Knowledge of UCSF Medical Center, HR and UC policies and processes. About UCSF
UCSF Health\'s mission combines innovative patient care, advanced technology and pioneering research. UCSF Health rankings and commitment to professional growth provide a rewarding work environment. Pride Values
UCSF fosters professionalism, respect, integrity, diversity and excellence (PRIDE). UCSF is committed to equity, diversity and cultural competence in care and workforce. More information: diversity.ucsf.edu Equal Employment Opportunity
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Organization
Health Job Code and Payroll Title
005755 MGD CARE MGR 4 Job Category
Strategy, Supervisory / Management Bargaining Unit
99 - Policy-Covered (No Bargaining Unit) Employee Class
Career Percentage
100% Location
San Francisco, CA Campus
Mission Bay (SF) Work Style
Flexible Shift
Days Shift Length
8 Hours Additional Shift Details
Onsite 3-Days per week End of description
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Vice President, Health Plan Strategy and Managed Care, Chief Contracting Officer Health Plan Strategy & Contracting • Full Time Job Code: 85991BR Job Summary
The Vice President, Health Plan Strategy & Managed Care & Chief Contracting Officer (CCO) at UCSF Health establishes strategies for developing the financial, programmatic and operational long-term plans for managed care and health plan partnerships, and strategic program and coverage expansion activities for the health system. This leader oversees negotiations of substantial importance and impact across the health system and reports to the SVP and Chief Financial Officer of UCSF Health. The VP/CCO is a member of UCSF Health's Senior Leadership Council (SLC) and a member of the System CFO's senior leadership team. The position is directly responsible for negotiation and management of all UCSF Health\'s contracted payer relationships (commercial, governmental and large at-risk referring medical groups), and for developing contracting strategies to engage community providers and expand UCSF Health\'s regional footprint. This includes the Community Integrated (physician) Network and regional hospital affiliations. Contracted entities include UCSF Medical Center (including Benioff Children\'s Hospital San Francisco and Benioff Children\'s Hospital Oakland), UCSF School of Medicine (SOM) Faculty Practice Organization, the Clinically Integrated Network (CIN), UCSF\'s Langley Porter Psychiatric Hospital, and related contracted physicians and networks. In addition to contracting responsibility, the VP/CCO develops and executes managed care contracting strategy for commercial and governmental transplant Center of Excellence (COE) contracts, risk-bearing Accountable Care Organization (ACO) collaborations, and Health Insurance Exchange (HIE) products. The role ensures commercial, Medicare Advantage seniors and Medi-Cal Managed Care plan enrollees can access UCSF from local and regional markets. The VP is responsible for contract modeling, financial performance assessment and negotiation support (business, legal and financial), including EPIC-based calculation of expected payments and monitoring actual contract payments/compliance. In support of UCSF\'s high-value system of care and the Canopy Health network, the position collaborates with UCSF\'s Population Health office and dyad partners to evaluate and improve cost-effectiveness of care delivery for assigned and referred enrollees. This ensures contracting strategies align with and support optimal patient care and long-term viability of UCSF Health. The role also contributes to the execution of the UCSF Clinical Enterprise Plan (5-year plan) expected to roll out in winter 2025, guiding the opening of new inpatient facilities through 2030–2031. The final salary and offer components are subject to UC policy and internal equity considerations. Salary range for this position is $281,700 - $593,100 (Annual). For more about UCSF benefits, visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html Location: San Francisco, CA • Campus: Mission Bay (SF) • Work Style: Flexible • Shift: Days • Shift Length: 8 Hours • Additional Shift Details: Onsite 3-Days per week. Department Description
UCSF Health\'s Department of Health Plan Strategy & Contracting provides strategic leadership and direction for all health plan and managed care contracting strategy, including execution and performance monitoring for UCSF Medical Center (Benioff Children\'s Hospital SF, School of Medicine FPO, CIN) and Benioff Children\'s Hospital Oakland (BCP medical foundation) and Langley Porter Psychiatric Hospital. Required Qualifications
Master\'s degree in related area and/or equivalent experience/training. 10 years of experience as a leader in health plan strategy or related healthcare industry experience. Ability to translate technical contracting theory and Managed Care industry trends into revenue generation and strategic business concepts; apply expertise to abstract concepts and make real-time decisions. Knowledge of relevant Managed Care laws and regulations; apply expert policy knowledge to improve Managed Care policies and processes. Innovative leadership to motivate and influence others; align department and organizational goals; inspire managers to develop industry-leading Managed Care services. Proven ability to propose improvements to Managed Care operations through information technology; assess impact of IT changes on productivity and quality. Expert in strategic planning and implementation for a multi-faceted health system. Advanced skills in strategy development, systems planning and change management; expert in business development and negotiations of managed care contracts. Interpersonal skills to maintain professional relationships with organizational and industry leaders; ability to collaborate across levels and manage conflicts for win-win outcomes. Analytical problem-solving to evaluate complex data and issues; ability to synthesize and clearly articulate impact. Highly-developed verbal and written communication, facilitation and presentation skills, with a persuasive style. Preferred Qualifications
Knowledge of UCSF Medical Center, HR and UC policies and processes. About UCSF
UCSF Health\'s mission combines innovative patient care, advanced technology and pioneering research. UCSF Health rankings and commitment to professional growth provide a rewarding work environment. Pride Values
UCSF fosters professionalism, respect, integrity, diversity and excellence (PRIDE). UCSF is committed to equity, diversity and cultural competence in care and workforce. More information: diversity.ucsf.edu Equal Employment Opportunity
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Organization
Health Job Code and Payroll Title
005755 MGD CARE MGR 4 Job Category
Strategy, Supervisory / Management Bargaining Unit
99 - Policy-Covered (No Bargaining Unit) Employee Class
Career Percentage
100% Location
San Francisco, CA Campus
Mission Bay (SF) Work Style
Flexible Shift
Days Shift Length
8 Hours Additional Shift Details
Onsite 3-Days per week End of description
#J-18808-Ljbffr