AVP, Institutional Contracting

United States·Columbiamid

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Quick Summary

Key Responsibilities

Ensures effective and efficient contract performance, to include contractual performance standards, budget goals, cost containment and profit and revenue goals.

Requirements Summary

Required Education: Bachelor's degree. Required Experience: 10+ years Health related or managed care industry work experience. 5 Years Management experience OR equivalent

Technical Tools

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Why should you join the BlueCross BlueShield of South Carolina family of companies?

Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Position Purpose:

As the AVP, Institutional Contracting, you will provide overall executive leadership and responsibility for the effective and efficient control of all functional operations of the Institutional Provider contracting area. In this role, you will be responsible for financial planning, budget control, and working with Actuarial to ensure that they are aware of the impact of the contracts negotiated.

The highly analytical and influential leader that we seek will have a proven track record of successful managed care contract negotiations. In addition to having executive-level presentation skills, the AVP, Institutional Contracting will have a strong background in hospital reimbursement methodologies and analytics. In this position, you will represent our company with high standards of integrity.

Responsibilities

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Ensures effective and efficient contract performance, to include contractual performance standards, budget goals, cost containment and profit and revenue goals.
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Formulates strategy for the contracting area to meet various line of business network needs.
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Ensures that all contractual and/or corporate standards and requirements are met and all corporate guidelines are followed.
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Establishes and maintains effective working relationships with all internal and external clients.
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Maintains overall authority for the contract and/or business unit.
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Directs, motivates and develops staff.

10+ years Health related or managed care industry work experience.
5 Years Management experience OR equivalent military experience in grade E4 or above (may be concurrent with the 10+ plus years)

Proven track record of successful managed care contract negotiations.
Highly analytical.
Strong ability to influence and negotiate.
Deep working knowledge of hospital reimbursement methodologies.
Executive-level presentation skills.
Exceptional knowledge of hospital contracting.

What We Offer

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We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

✓Subsidized health plans, dental and vision coverage

✓401k retirement savings plan with company match

✓Life Insurance

✓Paid Time Off (PTO)

✓On-site cafeterias and fitness centers in major locations

✓Education Assistance

✓Service Recognition

✓National discounts to movies, theaters, zoos, theme parks and more

We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.

Management will be conducting interviews with those candidates who are the most qualified, with prioritization given to those candidates who demonstrate the required qualifications.

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.

We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.

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