The Vice President, Provider Network Management (VP, NM), in concert with and under the direction of the Chief Medical Officer (CMO) will be responsible for providing senior level leadership, guidance and oversight over all network management including: Provider Contracting, Strategic Relationships, Regional Contracting and Plan Management. The position will develop, lead and align the execution of both short term tactical initiatives and long term strategies which will facilitate the organization’s ability to meet or exceed annual medical cost budgets. The VP, NM will provide oversight of major corporate-wide medical and provider oriented projects/initiatives and implement the relevant operational aspects of the three year rolling strategic plan. In partnership with the Chief Medical Officer and the organization’s senior and associate medical directors, the VP, NM will integrate provider network plans, activities, programs, policies and initiatives throughout the company in order to meet corporate objectives. The VP, NM will exhibit insight, innovation and leadership to drive multiple strategies which will result in effectively managing medical benefit costs while continuously improving quality, access and customer satisfaction.
Associate Vice President, Plan Management and Associate Vice President, Provider Contracting Strategic Relationships and Regional Contracting.
As a key member of the Senior Leadership Team and in partnership with the Chief Medical Officer, leads the development and implementation of all medical and provider affairs strategies and programs as they relate to the three year strategic and operational plan.
Leads the functions in Plan Management and Provider Contracting.
In partnership with the Chief Medical Officer and other medical directors, provides strong leadership in implementing initiatives and strategies to control medical costs in order to achieve budgeted medical cost targets. This should occur through support of state-of-the-art provider contracts which incorporate the principles of performance accountability, effective medical management strategies, use of health information technology systems and implementation of a process of continuous improvement in care delivery.
Oversees the development and implementation of provider contracting strategies and provider contracting negotiations and ensures the terms of the contracts are fulfilled.
Leads provider contracting and servicing activities for business expansion. Develops and implements strategies to strengthen and/or develop new physician, hospital and other provider relations. Defines provider network expansion requirements in new and existing geographic service areas.
Incorporates new, innovative, emerging and/or effective quality and benefit cost control programs to improve the delivery of high quality and cost effective care for the organization’s membership.
In concert with developing collegial and mutually beneficial relationships, provides insight and information to Henry Ford Health System physician and administrative executives relative to provider contracting activities.
Directs assessment and changes to utilization and medical management business rules and processes in a manner that optimizes the effectiveness and efficiency of network operations and the delivery of clinical care.
Collaborates with Henry Ford Health System (HFHS) leadership on key objectives and system-wide programs. Effectively represents HAP’s interests and relationships with the Henry Ford Medical Group, HFHS provider operations, and other providers of services to HAP members.
In partnership with the Chief Financial Officer, reviews, revises and directs departmental budgets for assigned areas and develops a broad based organizational budget strategy, incorporating both long and short-term corporate objectives. Focuses on cost management initiatives and programs to improve financial performance.
Collaborates with Human Resources to develop and complete an assessment of staff core competencies as part of an effort to attract, retain and develop top talent. Develops an ongoing plan to fill skill gaps, including but not limited to training, cross training, reassigning roles, employee engagement scores, etc. for personal development. Establishes annual employee performance goals and developmental plans for all direct reports and their respective teams. Monitors progress on a quarterly basis to assess the level of employee morale and productivity and developing corrective action plans as indicated.
Chief Financial Officer
QUALIFICATIONS & EXPERIENCE:
Education: Minimum Bachelor’s degree in Business Administration, Healthcare Administration or related field with a relevant advanced degree (MHA or MBA) preferred.
At least 15 years of relevant management experience; the successful candidate will have moved through progressively senior roles with sequentially greater responsibility and success. He/she may have garnered this in organizations as diverse as insurance, provider organizations, integrated delivery systems or in classical HMOs/health plans.
Minimum seven (7) years of relevant contracting experience, with demonstrated competency in strategy development, negotiations, execution and implementation of the contract.
Demonstrated or equivalent experience in developing and managing networks to support comprehensive health insurance products.
Demonstrated financial acumen and experience using medical cost and other data and information as the basis for making sound decisions in contracting, as well as in the delivery of medical management, quality management and related improvement programs.
Experience working closely and effectively with physicians, hospitals, and other healthcare providers, with a preference for experience in integrated delivery systems.
Proven leader with a demonstrated ability to lead and influence the direction of large scale enterprises.
A strong leader with proven ability to identify the need for change, anticipating, recognizing and creatively addressing resistance to change; working with others to view change as a challenge and opportunity for growth.
Complete understanding of Medical Loss Ratio (MLR) cost drivers and a demonstrated success in managing the medical cost component of the MLR.
Demonstrated or equivalent experience in leading all aspects of provider network activities, including network development, provider contracting strategies and negotiations, and provider servicing and relations which will facilitate the creation and maintenance of a high performing, accountable and engaged provider network.
Strategic influencer who drives agreement through intellect, interpersonal and negotiation skills.
Proven ability to attract, build, mentor and direct a high-performing cohesive and well-integrated team.
Proven track record in building successful relationships in a variety of contexts.
Understanding of the business environment and community, as well as trends and issues which will, or could potentially, influence the organization’s business performance.
The ability to discuss emerging health care issues.
Successful execution of innovative and effective ideas and strategies.
Experience participating at the senior level in mergers, acquisitions and joint ventures. Is this really a necessary qualification or previous experience for a candidate?
CRITICAL LEADERSHIP COMPETENCIES:
Business Literacy: Knows the business and produces results; is aware of the financial and health care quality implications of decisions made; identifies and seeks opportunities to enhance cost savings and improve the quality of care delivered; builds on existing market strengths; and seizes ways to improve market penetration.
Change Leadership: Creates a motivating environment to successfully help people through change in a positive manner; fosters open communications, continuous improvement, and innovation; minimizes complexity; maintains stability; involves others in decision making.
Decision Making: Seeks and organizes information; develops and considers alternatives; takes or initiates action; draws upon personal experiences.
Effective Communications: Listens; freely shares information in a timely manner; clearly communicates messages, either verbally or in writing; checks for understanding; effectively delivers and receives difficult messages.
Performance Management: Involves people in improving organizational effectiveness in the accomplishment of its mission and goals; plans work and sets expectations; develops the capacity to perform; monitors performance; evaluates performance; recognizes and rewards good performance.
Quality Orientation: Embraces continuous improvement in the development of high quality products to deliver service excellence; utilizes technology improvements, value-added products, customer responsiveness; influences positive employee attitudes.
Relationship Building: Acts with integrity; maintains mutually beneficial relationships with customers, superiors, peers, team members, other departments and functions to achieve organizational goals.
Service Excellence: Intentionally and consistently provides high quality service to internal and external customers; successfully delivers on service commitments.
Strategic Thinking: Translates vision, strategy and long range goals into terms others can understand and establishes concrete plans to deliver customer satisfaction; leads by example.
Talent Development: Identifies the professional learning and development needs of self, and team members as appropriate; collaboratively plans development activities to improve on-the-job performance; emphasizes the importance of lifelong learning and continuous improvement.
Technical Expertise: Seeks solutions; has personal energy; demonstrates ability to get the job done; overcomes obstacles; focuses on execution and accomplishments rather than activities.
Visionary with an entrepreneurial spirit who can drive innovation in a changing and highly competitive marketplace.
Challenges existing convention and does not settle for the ‘status quo’.
Establishes trust and earns the respect of the CEO and the senior management team.
Decisive and insightful leader with the ability to operate as a true partner with the senior management team and influence behaviors at all levels.
Leads as a ‘player/coach’ on the field, rather than ‘from above’. Acts with confidence without arrogance.
Be knowledgeable of leadership practices and cultural attributes as written in the book by Jim Collins, Good to Great. (HarperCollins Publishers, 2001)
Drives accountability and performance management in a firm, but fair way, with a sense of urgency.
Demonstrates a high energy level for a demanding work environment. Ensures that effective team processes are implemented in the organization.
Results oriented, maintains high standards to successfully achieve goals and is persistent through obstacles with integrity, courage and a sense of reality.
Analyzes situations from multiple angles, weighing opportunities and consequences objectively, rationally and unemotionally.
Keeps the organization moving forward to meet critical priorities.
Equal Employment Opportunity/Affirmative Action Employer Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.
Additional Salary Information: Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. My Choice Rewards is a program as diverse as the people it serves. There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services.
Henry Ford Health System is committed to improving the health and well-being of our diverse Michigan community
Founded in 1915 by auto pioneer Henry Ford and now one of the nation's leading health care providers, Henry Ford Health System is a not-for-profit corporation managed by Chief Executive Officer Wright L. Lassiter, III and governed by a 17-member Board of Trustees, with volunteer-led ad...visory and affiliate boards providing additional leadership.
It is comprised of hospitals, medical centers and one of the nation's largest group practices, the Henry Ford Medical Group, which includes more than 1,200 physicians practicing in over 40 specialties. The System's flagship, Henry Ford Hospital in Detroit, is a Level 1 Trauma Center recognized for clinical excellence in cardiology, cardiovascular surgery, neurology and neurosurgery, orthopedics, sports medicine, multi-organ transplants and cancer treatment.
With more than 30,000 employees, Henry Ford Health System is the fifth-largest employer in metro Detroit, and among the most diverse.