Priority Health
Job Summary
Accountable for supporting the efforts towards the successful development and implementation of corporate-wide value‑based strategies, network performance and operational efficiencies. Responsible for identifying opportunities to reduce cost, improve quality and enhance the member experience of care while at the same time monitoring the results of these efforts.
Essential Functions
Participates with the Vice President of Provider Network developing and implementing Priority Health’s philosophy, mission, goals, and objectives that align with the nationwide network expansion and operation support. Ensures department policies, programs, and plans are consistent with and support Priority health’s core values and mission.
Works with department leaders to identify, recommend, develop, and update departmental strategy and goals to support Priority Health philosophy and longer‑term strategic intent. Develops and achieves business goals that include establishing and maintaining operational standards.
Work cross‑functionally with other individuals to remove barriers impeding department goals and targets and to identify opportunities for improvement and facilitate problem resolution.
Cultivate and maintain productive relationships with key hospitals, physician medical groups, organized provider organizations and ancillary vendors. Oversee negotiation strategies and lead or participate in negotiations with key providers. Serve in leadership positions on key community boards of directors and statewide professional/industry organizations.
Provide advice/guidance/recommendations to Vice President and business partners regarding health care costs, cost savings opportunities, best practices, provider performance issues, provider compensation, and network expansion.
Lead, motivate and manage the team of professionals responsible for the span of control defined for this position.
Collaborate with stakeholders across the organization to ensure successful outcomes for Provider Network initiatives and strategies.
Responsible for monitoring budget and preparing annual fiscal budget with the Vice President of Provider Network.
Qualifications
Required: Bachelor’s Degree in Finance, Accounting, or related field.
Preferred: Master’s Degree (MBA) or advanced degree in Finance.
7 years of relevant health care experience.
5 years of relevant experience in a leadership role with a demonstrated ability to lead teams, manage budgets, and drive strategic initiatives.
5 years of relevant experience people management of consulting leadership.
Experience in provider network development and management.
Proven track record of achieving revenue targets and demonstrated ability to think strategically with a thorough understanding of strategic development.
Experience working in an organization of size and complexity.
Physical Demands
Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
Waist to Waist > 5 lbs: Seldom up to 10 lbs
Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
Waist to Overhead > 5 lbs: Seldom up to 10 lbs
Bilateral Carry > 5 lbs: Seldom up to 10 lbs
Unilateral Carry > 5 lbs: Seldom up to 10 lbs
Pushing Force > 5 lbs: Seldom up to 10 lbs
Pulling Force > 5 lbs: Seldom up to 10 lbs
Sitting: Frequently
Standing: Occasionally
Walking: Occasionally
Forward Bend - Standing: Seldom
Forward Bend - Sitting: Occasionally
Trunk Rotation - Standing: Seldom
Trunk Rotation - Sitting: Occasionally
Reach - Above Shoulder: Seldom
Reach - at Shoulder or Below: Seldom
Handling: Occasionally
Forceful Grip > 5 lbs: Seldom
Forceful Pinch > 2 lbs: Seldom
Finger/Hand Dexterity: Frequently
Benefits
Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
On‑demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance, pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location SITE - Priority Health - 1239 E Beltline - Grand Rapids
Department Name PH - Provider Network
Employment Type Full time
Shift Day (United States of America)
Weekly Scheduled Hours 40
Hours of Work 8-5
Days Worked M-F
Weekend Frequency N/A
Equal Employment Opportunity Statement Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug‑free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on‑site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
#J-18808-Ljbffr
Essential Functions
Participates with the Vice President of Provider Network developing and implementing Priority Health’s philosophy, mission, goals, and objectives that align with the nationwide network expansion and operation support. Ensures department policies, programs, and plans are consistent with and support Priority health’s core values and mission.
Works with department leaders to identify, recommend, develop, and update departmental strategy and goals to support Priority Health philosophy and longer‑term strategic intent. Develops and achieves business goals that include establishing and maintaining operational standards.
Work cross‑functionally with other individuals to remove barriers impeding department goals and targets and to identify opportunities for improvement and facilitate problem resolution.
Cultivate and maintain productive relationships with key hospitals, physician medical groups, organized provider organizations and ancillary vendors. Oversee negotiation strategies and lead or participate in negotiations with key providers. Serve in leadership positions on key community boards of directors and statewide professional/industry organizations.
Provide advice/guidance/recommendations to Vice President and business partners regarding health care costs, cost savings opportunities, best practices, provider performance issues, provider compensation, and network expansion.
Lead, motivate and manage the team of professionals responsible for the span of control defined for this position.
Collaborate with stakeholders across the organization to ensure successful outcomes for Provider Network initiatives and strategies.
Responsible for monitoring budget and preparing annual fiscal budget with the Vice President of Provider Network.
Qualifications
Required: Bachelor’s Degree in Finance, Accounting, or related field.
Preferred: Master’s Degree (MBA) or advanced degree in Finance.
7 years of relevant health care experience.
5 years of relevant experience in a leadership role with a demonstrated ability to lead teams, manage budgets, and drive strategic initiatives.
5 years of relevant experience people management of consulting leadership.
Experience in provider network development and management.
Proven track record of achieving revenue targets and demonstrated ability to think strategically with a thorough understanding of strategic development.
Experience working in an organization of size and complexity.
Physical Demands
Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
Waist to Waist > 5 lbs: Seldom up to 10 lbs
Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
Waist to Overhead > 5 lbs: Seldom up to 10 lbs
Bilateral Carry > 5 lbs: Seldom up to 10 lbs
Unilateral Carry > 5 lbs: Seldom up to 10 lbs
Pushing Force > 5 lbs: Seldom up to 10 lbs
Pulling Force > 5 lbs: Seldom up to 10 lbs
Sitting: Frequently
Standing: Occasionally
Walking: Occasionally
Forward Bend - Standing: Seldom
Forward Bend - Sitting: Occasionally
Trunk Rotation - Standing: Seldom
Trunk Rotation - Sitting: Occasionally
Reach - Above Shoulder: Seldom
Reach - at Shoulder or Below: Seldom
Handling: Occasionally
Forceful Grip > 5 lbs: Seldom
Forceful Pinch > 2 lbs: Seldom
Finger/Hand Dexterity: Frequently
Benefits
Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
On‑demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance, pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location SITE - Priority Health - 1239 E Beltline - Grand Rapids
Department Name PH - Provider Network
Employment Type Full time
Shift Day (United States of America)
Weekly Scheduled Hours 40
Hours of Work 8-5
Days Worked M-F
Weekend Frequency N/A
Equal Employment Opportunity Statement Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug‑free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on‑site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
#J-18808-Ljbffr