Pennant Healthcare is a progressive subsidiary of Ensign Services, Inc., operating as a portfolio of Skilled Nursing Facilities across the state of Washington and Reno, NV. Our unique operational and organization structure offers exceptional opportunities for innovative and entrepreneurial healthcare partners.
The role of Regional Director/Vice President, Post-Acute Services and Contracting provides extensive support and serves facility leaders and teams, enhancing on-site leader authority, focus, strategy, and day-to-day operational excellence.
Primary Areas of Focus and Responsibility:
- Develop and implement robust business, contractual rates(Managed Care, ACO, VBP), and census growth plans
- Execute and operationalize ACO, Bundled Payment, Alternative payment, narrow network, and innovative reimbursement models in collaboration with Facility leadership
- Engage in complex levels of contract development and negotiation, including risk agreements using utilization, claims and market data with health plans and direct service agreements with physicians, physician organizations and hospitals and ancillary providers
- Manage complex and high-profile health plan negotiations. Actively draft and negotiate contracts in the health care operations and health care plan functional areas
- Forge and enhance strategic partnerships and continuum relationships,
- Advance and elevate clinical, cultural, and operational outcomes through development and facilitation of transitional care, readmission reduction, and continuum-based initiatives
- Align and integrate clinical, programmatic, quality, and value-based initiatives
- Teach, train and instruct facility level personnel on growth and alignment initiatives
- Work collaboratively with the PACC and Managed Care Resource Team.Required Skills/Experience:
- Executive-level Healthcare leadership and management experience required (Acute, Post-Acute, Physician/Provider Group, Payer, etc.)
- Knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis.
- Must be knowledgeable about the managed care environment; including Alternative payment models, Value-Based Initiatives and programs, capitation as well as experience with lines of business including Medicare Advantage, Commercial, Managed Medicaid and Dual programs
- Knowledge of CPT-4, HCPCS, Revenue and ICD coding.
- Expert in Alternative Payment Models, Value-Based Initiatives and Programs, etc.
- Ability to be flexible, be readily adaptable, and work in a rapidly and constantly changing environment.
- Microsoft Excel and Data Analytic expertise
- Willing to travel up to 30% of the time; including WA and NV
Our Ensign affiliated team members embrace a unique operational structure and organizational culture in which highly motivated, entrepreneurial, and opportunistic individuals thrive. We endeavor to provide an “Ensign Experience” to those we have the privilege to serve, care for, and interact. The core values and cultural tenets that we strive to live each day, and that we seek in others, are summarized by the word “CAPLICO”:
- Customer Second
- Accountability
- Passion for Learning
- Love One Another
- Intelligent Risk-Taking
- Celebration
- OwnershipTotal Rewards:
We are committed to providing a competitive Total Rewards Package that meets our employees’ needs. From a choice of medical, dental and vision plans to retirement savings opportunities through a 401(k), company match and various other features, we offer a comprehensive benefits package. We believe in great work and we celebrate our employees’ efforts and accomplishments both locally and company-wide, recognizing people daily through our Moments of Truth Program. In addition to recognition we believe in supporting our employee’s professional growth and development. We provide employees a wide range of free e-courses through our Learning Management System as well as training sessions and seminars.
Job Type: Full-time
Experience:
- Managed Care: 3 years (Preferred)
Required travel:
- 25% (Required)
Application Question:
- Describe your experience in Managed Care and Health Care in a couple sentences?
Work Location:
- Multiple locations
Benefits:
- Health insurance
- Dental insurance
- Vision insurance
- Retirement plan
- Paid time off
This Job Is Ideal for Someone Who Is:
- Detail-oriented — would rather focus on the details of work than the bigger picture
- Achievement-oriented — enjoys taking on challenges, even if they might fail
- Autonomous/Independent — enjoys working with little direction
- Innovative — prefers working in unconventional ways or on tasks that require creativity
- High stress tolerance — thrives in a high-pressure environment
This Company Describes Its Culture as:
- Detail-oriented — quality and precision-focused
- Innovative — innovative and risk-taking
- Outcome-oriented — results-focused with strong performance culture
- People-oriented — supportive and fairness-focused
- Team-oriented — cooperative and collaborative
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