What are the responsibilities and job description for the Vice President, Corporate Network Policy & Planning position at AmeriHealth Caritas?
Responsibilities
Developing, managing, and executing the enterprise-wide policies and standardized processes function
- Oversees the assessment, development, and implementation of enterprise policies, including associated controls that drive processes across the provider continuum to ensure standardized, financially transparent processes.
- Serves as Project Sponsor for the enterprise-wide multi-year initiative to re-imagine provider experience workflow and enable the new technology platform (Project LIFT) and any new enterprise contracting platforms.
- Drives to a standard global Provider Delivery operating model, including assessing existing processes and structures at all levels of the organization and developing an enterprise approach (inclusive of the design, implementation, process, measure, owner, and resources) to enhance integration, optimization, and standardization of provider related activities.
- It requires research, solution development, financial modeling, implementation management, reporting, training, and communications.
- Drives a standardized approach to provider contract negotiations with controlled, consistent exception processes.
- Supports an enhanced operating model, serving as a recognized change agent for the enterprise by influencing acceptance of the change and defining an appropriate implementation plan.
- Oversees the Provider Communications and Training teams, with a goal to standardize and consolidate provider-related requirements, communications, and training needs to balance fiduciary responsibility while reducing administrative burden.
- Assesses and redefines provider satisfaction and demonstrative avenues to materially impact results.
Oversee the overarching strategic and budgeting function.
Cross-departmental optimization and CPNM functional oversight
Organizational leadership
Education & Qualifications :
Diversity, Equity, and Inclusion
At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more.
Generous paid time off and paid volunteer time off.
Employer-matched 401(k) and additional non-elective contributions, starting on day one.
Medical, dental, and vision plans — with coverage starting on day one.
Employee assistance programs, fitness reimbursements, nutrition counseling, and more.
Employer-paid life insurance, with opportunities to purchase additional coverage.
Employer-paid short-term disability coverage and long-term disability coverage.
Tuition assistance, including reduced tuition at certain schools.
Financial assistance with adoption, including paid time off.
Flexible spending and health savings accounts to pay for qualified expenses.
Discount programs on entertainment, travel, and more.
