VP, Enterprise Commercial & Government Contracting / Managed Care Contracting - Children's Hospital Los Angeles

Location/Org Data : Introduction:

NATIONAL LEADERS IN PEDIATRIC CARE
Ranked among the top 10 pediatric hospitals in the nation, Children’s Hospital Los Angeles (CHLA) provides the best care for kids in California.

 

Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children.

 

The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation.

 

Join a hospital where the work you do will matter—to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding.

It’s Work That Matters.

Overview:

Purpose Statement/Position Summary:
The Vice President, Enterprise Commercial and Governmental Contracting is responsible for strategically directing all functions in support of the Enterprise, and proactively providing operational insights in the development, negotiation, and execution of all types of Payor Contracting for Children’s Hospital Los Angeles (Medical Center), Children’s Hospital Los Angeles Teaching Clinics, Children’s Hospital Los Angeles Medical Group (Medical Group), Children’s Health Alliance of Medical Providers (CHAMPS) and Pathology LP, across all lines of businesses (Commercial, Medi-Cal, FFS, VBC, APM) for whom the Enterprise provides facility and professional services.
This leader oversees strategic development of Medi-Cal reimbursement and alternative payor models, as well as negotiation, communication, implementation and oversight of managed care contracting and collaboration with operative partners. This position will oversee the Enterprise’s collaboration with health plans, physician groups, and 3rd party payors for both commercial and governmental plans. Additionally, this leader represents the CHLA organization and the division both internally and externally. The vice president should have a deep understanding of Medi-Cal financing policies, including but not limited to fee-for-service (FFS) and Medi-Cal Managed Care payment arrangements, as well as shifting alternative payment models in California’s Medicaid environment.

 

Minimum Qualifications/Work Experience: 10+ years of relevant experience is required under fee for service as well as at-risk managed care contracting. 5+ years managing people or projects within a healthcare environment. The ability to analyze and explain complex concepts and contract terms to a broad audience that includes physicians and faculty. Multi-tasking within the confines of tight budgets and timelines.

 

Education/Licensure/Certification: Bachelor’s degree is required. An advanced degree in healthcare administration, contracts or a related field is preferred.

Pay Scale Information:CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures.Location/Org Data : Closing:

Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you’ll find an environment that’s alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures – for our patients, as well as for you and your career!

CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932.

At Children’s Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance.

 

Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process.

 

Diversity inspires innovation. Our experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA.