Vice President of Health Plan Network Solutions

Role Snapshot

Our Vice President of Health Plan Network Solutions is a key executive leader responsible for overseeing and directing our health plan network strategy, development and optimization. This VP will accountable for the development and implementation of innovative strategies that optimize network design and performance across a broad array of insurance products and programs. This role provides executive leadership over all network contracting and management functions, including provider identification/evaluation/recruiting, negotiation strategies, network design/adequacy, credentialing, value tiering, fee schedules, provider directories, value-based care arrangements, analytics/reporting, and provider engagement strategies, incentives, communications, experience/satisfaction and retention.

Salary Range

200,000 ~ $250,000

The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, experience and may fall outside the posted range.

Hybrid Work Location

• This position will be hybrid, having the regional availability to come into our Office on a regular weekly cadence. Our office location: WPS Corporate Center Building - 1717 W. Broadway in Madison, WI.

How do I know this opportunity is right for me? If you:

• Would enjoy collaborating with the health plan's senior leadership team, develop strategies, goals, programs, best practices and performance improvement projects.
• Want to improve and optimize health plan network performance (including choice/ access, total cost of care, quality, and provider satisfaction), and deliver on WPS's value proposition to members and customers.
• Partner with other internal and external stakeholders to facilitate smooth network operations, high levels of satisfaction and achieve desired results.
• Have been accountable for achieving/surpassing key performance metrics across accountable areas.
• Can identify and leverage data and technology to improve performance and quality, and minimize costs.
• Are excited to oversee and optimize relationships with network management partners, rental networks, and vendors to drive performance and results.
• Enjoy ensuring that the health plan's network meets all regulatory requirements and industry standards, including state and federal regulations.
• Have assessed business risks/opportunities, and identified strategies to mitigate/capitalize as appropriate.
• Like to contribute to meeting/surpassing the health plan's strategic, growth, profitability and customer satisfaction goals.
• Want to coach and mentor the Network Management team to ensure a culture of accountability and excellence; implements programs to drive employee engagement and satisfaction.

Minimum Qualifications

• A bachelor's degree in healthcare administration, business management or a relevant field, or 10 plus years of equivalent work/educational experience.
• 10 or more years of health plan work experience.
• 5 or more years of progressive leadership experience managing relevant health plan network solution/development functions.
• Exceptional leadership and team-building capabilities.
• Excellent interpersonal and communication skills with the ability to influence at all levels.
• Ability to identify, prioritize and drive work efforts with the highest returns on investment to achieve desired health plan goals.
• Strong analytical and problem-solving skills with an emphasis on using data to drive operational and financial performance.
• Ability to work in a complex, rapidly evolving environment with multiple internal and external stakeholders.
• In depth understanding of relevant federal and state regulations and requirements
• Working knowledge of the challenges facing health plans and the broader healthcare industry

Preferred Qualifications

• 10 or more years of progressive leadership experience managing relevant health plan network solution/development functions.
• Experience navigating Wisconsin Health plan markets and networks.
• Masters degree in healthcare administration, business management or a relevant field.

Remote Work Requirements

• High speed cable or fiber internet
• Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net)
• Please review Remote Worker FAQs for additional information

Benefits

• Remote and hybrid work options available
• Performance bonus and/or merit increase opportunities
• 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
• Competitive paid time off
• Health insurance, dental insurance, and telehealth services start DAY 1
• Professional and Leadership Development Programs
• Review additional benefits: (https://www.wpshealthsolutions.com/careers/fulltime_benefits.shtml)

Who We Are

WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.

Culture Drives Our Success

WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.

We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.

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