Senior Vice President, Payer Partnerships

Overview of the Role:
Privia Health is seeking a seasoned managed care executive for the newly created position of Senior Vice President of Payer Partnerships in our rapidly growing national organization. The Senior Vice President of Payer Partnerships, alongside other executive leaders, will be responsible for leading, planning, directing and coordinating payer partnerships and payer operations for the entire national organization. The successful individual will be responsible for overseeing the negotiation of fee-for-service and value/risk-based performance contracts in various markets, contract operations and performance program management, leading key payer strategies and new product development initiatives, and developing and fostering meaningful relationships with key influencers (commercial payers, government payers, and with large self-insured employers).
Job Responsibilities include but are not limited to the following:
Primary Job Duties:
Serve as Privia's chief liaison to the payor community.
Work collaboratively with executive leadership to develop an ongoing strategic plan that serves as the basis for managed care contracting efforts.
Pursue and develop relationships with payers at the most senior levels, in government, commercial organizations, and with large self-insured employers, with effective and long-lasting communication channels.
Assess current strategies and contracts relative to the marketplace and ensure that successful contracts are (re) negotiated to produce winning outcomes for all parties.
Provide ongoing communication to the executive team, physician community and related employees regarding any strategies, tactics or action plans.
Ensure that payer activities comply with all policies and regulations defining the organization's purpose and intent.
Remain alert to trends and future federal and state policies as they relate to changes that might impact the function.
Serve as a key strategist to ensure the Privia is well positioned for the changes in reimbursement.
Lead Joint Operating Council (JOC) and operations meetings with payers
Analyze and manage our performance to value-based metrics around the quadruple aim: cost, quality, patient satisfaction, clinician satisfaction
Analyze cost data to surface recommendations
Minimum Qualifications:
Bachelor's degree required. Healthcare Master's or MBA from a top school highly preferred.
10-+ years of experience working in health plans, health systems, and/or provider organizations, managing fee-for-service and value/risk-based contracts
Ideal candidate would have experience in both the payor and provider side of contracting
Expert in value-based payer programs, risk, and successful tactics to improve quality and generate savings
A broad understanding of healthcare reimbursement methodologies is required.
Able to grasp both clinical and business concepts.
Analytical, quantitative, and financially focused; must know how to interpret fee-for-service and value-based program requirements and understand the impact on financial results
Phenomenal relationship and business acumen
Strategic and able to see the big picture as well as have a strong detail orientation. The
It is likely that s/he will be a highly successful contract negotiator within a payer or provider healthcare with a strong business and financial acumen and a comprehensive understanding of contractual options, healthcare economics and competitors' practices. The successful candidate will have deep knowledge of how contracting relates to medical costs, the delivery of high quality healthcare and a thorough understanding of healthcare policy.
Comfortable working in a collaborative and consensus building environment and have the ability to work with a variety of constituents (CEOs, CFOs, MDs, and senior managed care executives)
Interpersonal Skills & Attributes:
Excellent communicator ? expresses complex ideas clearly and effectively to a varied audience of physicians, care center staff, and Privia employees
Proven track record of managing relationships at the senior most levels
Collaborator ? able to develop buy-in and drive action across a wide set of team members
Comfortable with ambiguity and complexity, and able to move forward despite unclear direction
Skilled in establishing and maintaining strategic relationships with payers
A compelling need to get things done, a can-do attitude with an assertive approach in the marketplace.
This person is not:
Someone easily overwhelmed with a great deal of responsibility and complexity
Someone unable to prioritize among nearly limitless objectives
Someone who lacks hustle and wants to stay high-level because he/she is too senior
Someone unorganized and not worried about the details
Someone who waits for work to be given to them
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.
It is an unlawful employment practice for an employer to fail or refuse to hire or discharge any individual, or otherwise to discriminate against any individual with respect to that individual's terms and conditions of employment, because of such individual's race, color, religion, sex, or national origin.

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