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Managed Care, VP-Region
Leadership | WI-SSM Health West Beltline | Madison, WI | Req #: R58527

PRIMARY RESPONSIBILITIES

  • Serves as a leader of the respective Regional team providing strategic direction on managed care related issues. Works effectively as a team member in a dynamic executive environment in a matrix organization and promotes teamwork within and across the organization by maintaining positive relationships and utilizing effective problem-solving skills.
  • Oversees human resource management for the assigned area creating a culture of employee engagement. Ensures HR policies are administered consistently across function. Organizes departmental areas through appropriate structure and delegation of functions. Identifies succession planning needs.
  • This function also requires close coordination with other areas within the SSM Integrated System such as the Clinical Integration Organization (CIO), and population health management efforts, in addition to operational and strategic coordination with SSM Finance and Hospital/Physician Organization leadership at the regional level. Will provide leadership and direction to Regional physician contracting (clinically and/or financially integrated) organizations.
  • Serves as the Region's lead contract negotiator with external payors (e.g,. regional insurance carriers). Contributes to strategy development and negotiations with self-funded employer groups in support of the System's direct-to-employer relationship-development function.
  • Staff and operating budget management responsibility for Regional Managed Care Contracting department.
  • Serves on or leads various committees to assist in strategic and operational goals of SSM.
  • Develop good working relationship with leadership across the Region, Regions and outside the organization (e.g., SSM payor relationships, other industry leaders, etc.).
  • Participates in professional activities and maintains professional affiliations as appropriate.
  • Performs other duties as assigned.

EDUCATION

  • Master's degree or equivalent combination of education and experience

EXPERIENCE

  • Ten years' experience, with five years' in leadership

PHYSICAL REQUIREMENTS

  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
  • Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
  • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
  • Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
  • Frequent keyboard use/data entry.
  • Occasional bending, stooping, kneeling, squatting, twisting and gripping.
  • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
  • Rare climbing.

SSM Health is a nationally recognized Catholic, not-for-profit integrated health system serving Illinois, Missouri, Oklahoma, and Wisconsin.

To request additional information, confidentially submit your interest, or nominate a fellow colleague, please contact:

Angela Jones

Executive Talent Acquisition

Phone 636-328-3709

Angela.Jones1@ssmhealth.com



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Executive Talent Acquisition
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Why SSM Health

At SSM Health, we are driven by a singular Mission: Through our exceptional health care services, we reveal the healing presence of God. It's a higher calling that binds us. Here, we work together, system and providers alike, to heal the body, mind and spirit of our patients. We are united by a shared commitment to serve through faith, humanity, compassionate care and exceptional medicine.

Employment Benefits

  • Health, dental and vision insurance
  • Malpractice insurance
  • Paid time off
  • Retirement savings plan
  • CME stipends and time
  • Adoption reimbursement
  • And more!
Why SSM Health
Diversity

Diversity, Equity and Inclusion

At SSM Health, diversity, equity and inclusion are integral parts of who we are and a reflection of our Mission and values. We believe that workplace diversity is essential to our success. We seek to foster awareness and appreciation of diversity among our patients, employees, physicians, providers, customers and communities.

We are proud to be an Equal Opportunity Employer. Qualified applicants are considered for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity or any other characteristic protected by law.

Awards & Recognition

SSM Health continues to expand our heritage of healing. We strive to be system-driven by our Mission and a pursuit of continuous improvement. Through this commitment, we’ve established ourselves as a leading integrated health care system in the Midwest — recognized by prestigious regional and national accrediting bodies with awards for performance excellence, quality, technology, safety and patient experience.

Quality of Life

Wisconsin

SSM Health and SSM Health Dean Clinic have care centers in cities and communities throughout beautiful and progressive Wisconsin. Enjoy a quality of life that comes with a location known for its idyllic lakes, wooded acres and rolling farmlands. Wisconsin is a state that has long set a standard for good government and citizenship. Whether you’re planning to make a home amidst the backdrop of the high-tech businesses and acclaimed academic institutions in the progressive small city of Madison or within the rolling hills and fresh waters that lead people to the Wisconsin Dells every summer, you’ll find a friendly, affordable and peaceful quality of life that makes Wisconsin among the best states to live in the country.

Wisconsin

“This past year has further demonstrated the important and influential role that health care systems can and should play in shaping local communities and society at large,” Joe Hodges, Regional President, SSM Health in Oklahoma. “SSM Health is proud to join this pledge and will continue taking bold steps to ensure better health for all – particularly those who are economically, physically and socially marginalized.”

Collectively, SSM Health and the other Catholic health organizations that have signed the pledge employ nearly a half million people across 46 states and the District of Columbia, and care for almost four million patients annually.

Recognizing that racism is an affront to the core values of Catholic social teaching, CHA members joined in solidarity to promote the common good and seek justice by being actively anti-racist and accountable in effecting positive change in the communities we serve.

Four focus areas

Act for COVID-19 equity: Members commit to ensuring that testing for COVID-19 is available and accessible in minority communities and that new treatments are distributed and used equitably as they become available. Members will also work for prioritization of vaccinations for those individuals and families at higher risk — elder populations and communities of color, including Native American communities.

Enact change across our own health systems: Members are examining how their organizations recruit, hire, promote and retain employees; how they conduct business operations, including visible diversity and inclusivity at the decision, leadership and governance levels; and how they incentivize and hold our leaders accountable.

Advocate for improved health outcomes for minority communities and populations: Members agree to promote and improve the delivery of culturally competent care and oppose policies that exacerbate or perpetuate economic and social inequities, including such issues as education, housing and criminal justice reform.

Strengthen trust with minority communities: Members will continue to foster, strengthen and sustain authentic relationships based on mutually agreed goals to better understand the unique needs of their communities.

Kaiser and other Catholic health care leaders who have signed the pledge recognize that collectively they are in a unique position to bring about overdue change to policies and practices that have allowed systemic racism and health disparities to continue in the United States.

To hold itself and its members accountable, CHA intends to provide updates on the commitment progress annually.