University of California San Francisco
Vice President, Health Plan Strategy and Managed Care, Chief Contracting Officer
University of California San Francisco, San Francisco, California, United States, 94199
Overview
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 role oversees negotiations of substantial importance and impact across the health system. The position reports directly to the SVP and Chief Financial Officer of UCSF Health and is a member of UCSF Health's Senior Leadership Council (SLC) and the System CFO's senior leadership team.
Responsibilities
Direct responsibility for negotiation and management of all UCSF Health\'s contracted payer relationships (commercial, governmental and large at-risk referring medical groups).
Develop contracting strategies to engage community providers and expand UCSF Health\'s regional footprint, including the Community Integrated (physician) Network and regional hospital affiliations.
Oversee contracted entities including UCSF Medical Center (Benioff Children\'s Hospital San Francisco and Benioff Children\'s Hospital Oakland), UCSF\'s School of Medicine Faculty Practice Organization, Clinically Integrated Network (CIN), contracted UBCP physicians supporting BCHO, and UCSF\'s Langley Porter Psychiatric Hospital.
Develop and execute 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.
Ensure access for commercial, Medicare Advantage seniors and Medi-Cal Managed Care plan enrollees from local and regional markets.
Lead 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.
Collaborate with UCSF\'s office of Population Health and dyad partners to evaluate and improve cost effectiveness of care delivery for assigned and referred enrollees, aligning contracting strategies with optimal patient care and long-term system viability.
Contribute to the execution of UCSF Clinical Enterprise Plan (5-year plan) updated for rollout in winter 2025, supporting the opening of new inpatient facilities expected in 2030 and 2031.
Collaboration & Strategic Partnerships Work closely with UCSF Health in Canopy Health network considerations to evaluate and improve care delivery value while ensuring strategic alignment with system goals.
Compensation & Benefits The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on factors including work experience and internal equity within this position classification at UCSF. For positions represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.
The salary range for this position is $281,700 - $593,100 (Annual Rate).
To learn more about the benefits of working at UCSF, including total compensation, please visit:
https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
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Responsibilities
Direct responsibility for negotiation and management of all UCSF Health\'s contracted payer relationships (commercial, governmental and large at-risk referring medical groups).
Develop contracting strategies to engage community providers and expand UCSF Health\'s regional footprint, including the Community Integrated (physician) Network and regional hospital affiliations.
Oversee contracted entities including UCSF Medical Center (Benioff Children\'s Hospital San Francisco and Benioff Children\'s Hospital Oakland), UCSF\'s School of Medicine Faculty Practice Organization, Clinically Integrated Network (CIN), contracted UBCP physicians supporting BCHO, and UCSF\'s Langley Porter Psychiatric Hospital.
Develop and execute 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.
Ensure access for commercial, Medicare Advantage seniors and Medi-Cal Managed Care plan enrollees from local and regional markets.
Lead 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.
Collaborate with UCSF\'s office of Population Health and dyad partners to evaluate and improve cost effectiveness of care delivery for assigned and referred enrollees, aligning contracting strategies with optimal patient care and long-term system viability.
Contribute to the execution of UCSF Clinical Enterprise Plan (5-year plan) updated for rollout in winter 2025, supporting the opening of new inpatient facilities expected in 2030 and 2031.
Collaboration & Strategic Partnerships Work closely with UCSF Health in Canopy Health network considerations to evaluate and improve care delivery value while ensuring strategic alignment with system goals.
Compensation & Benefits The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on factors including work experience and internal equity within this position classification at UCSF. For positions represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.
The salary range for this position is $281,700 - $593,100 (Annual Rate).
To learn more about the benefits of working at UCSF, including total compensation, please visit:
https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
#J-18808-Ljbffr