As part of our continued commitment to providing a safe and healthy workplace, Phoenix Children’s is officially a mandatory COVID-19 vaccination organization, effective October 1, 2021. All new employees must be fully vaccinated prior to starting employment at Phoenix Children’s. Having a vaccinated workforce is an important step in supporting our mission to provide hope, healing and the best healthcare for the children in our community.
Responsible for managed care strategy and operations to drive financial results for Phoenix Children’s and Phoenix Children’s Care Network (PCCN). Position coordinates, evaluates and oversees implementation of managed care contracting and related responsibilities, value-based contracting initiatives, population health/clinical integration strategies, government contracts and partnering opportunities with regional employers. Continuously monitors the competitive environment and understands and monitors the trends that affect current and future healthcare business models and reimbursement. Collaborates with Finance, Strategy, Revenue Cycle and Administration in areas that managed care impacts organizational strategic initiatives. Responsibilities include strategic development of contract parameters and pricing and maintaining payer relationships to ensure optimization of contract terms. Oversight includes ensuring that all third-party payer contracts are negotiated, implemented and operationalized in accordance with Phoenix Children’s and PCCN requirements, established contract parameters, and strategic initiatives. Oversees provider enrollment, strategic pricing, and managed care contract approval/review functions. Position reports to the Executive Vice President and Chief Financial Officer.