Vice President, Contracting - Executive at Honolulu

Job Description

Hawaii Pacific Health is a nonprofit health care system formed in 2001 with the merger of three longtime Hawaii health systems. It is the states largest health care provider, committed to providing the highest quality medical care and service to the people of Hawaii and the Pacific Region through its four hospitals, 49 outpatient clinics and service sites, and more than 1,300 affiliated physicians. The system is anchored by its four flagship nonprofit hospitals: Kapiolani Medical Center for Women & Children, Pali Momi Medical Center, Straub Clinic & Hospital and Wilcox Memorial Hospital, which have led groundbreaking initiatives in womens health, pediatric care, cardiovascular services, cancer care and bone and joint services. Hawaii Pacific Health ranks among the top 5 percent of hospitals nationwide in the adoption of electronic medical records, with system-wide implementation that allows its hospitals and physicians to offer integrated, coordinated care throughout the state.

The Contracts and Reimbursement team works with Business Services, Admitting, Finance, Case Management, Clinical Departments and payors to facilitate recovery of payor accounts and enhance payor relations. These dedicated professionals negotiate and maintain contracts with third party payors, review and process contract documents, transfer payor terms and conditions into the appropriate reimbursement system, and conduct analysis and reporting on payor activity.

As the Vice President of Contracting & Reimbursement, you will help to uphold Hawaii Pacific Healths operational and fiscal excellence, specifically in the area of contracts and reimbursement for our health care services. You will oversee the development and implementation of the overall strategic plans for provider contracts, reimbursements and managed care. Your responsibilities also include negotiating contracts with HMSA, Aloha Care and other third party payors; providing training and development for department staff; collaborating with management to structure the health plans contracting philosophy; legal document review, variance follow-up and managed care functions. We are looking for someone driven and meticulous, with remarkable organizational and communication skills and a commitment to delivering the highest quality health care to Hawaiis people.

Location:Hawaii Pacific Health

Work Schedule:Day - 8 Hours

Work Type: Full Time Regular

FTE: 1.000000

Bargaining Unit: Non-Bargaining

Exempt: Yes

Minimum Qualifications: Bachelors Degree in Accounting, Finance, or Business related field, or equivalent combination of education, training, and experience. Ten (10) years of management experience. Five (5) years of experience in contract formulation and negotiations and experience in finance, accounting or managed care in a health care environment.

Preferred Qualifications: Masters Degree. Ten (10) years of direct leadership in a health care environment. Thorough understanding of Medicare and Medicaid reimbursement rules and regulations.

Job Requirements

Country: USA, State: Hawaii, City: Honolulu, Company: Hawaii Pacific Health.