Summary: The Vice President of Managed Care Strategy leads the strategic direction and operational oversight of the IDR process in compliance with federal and state regulations.

*This role can be remote with required work site attendance from time to time in accordance with business conditions.  For those seeking a hybrid work location, we have corporate office locations in Dallas, TX or Washington, DC.  

Essential Functions: 

• Hire, develop, and oversee the third-party mediation and managed care teams.
• Develop and implement strategic vision, policies, and procedures for the third party mediation function.
• Oversee processes, timelines, and final determinations to ensure compliance with regulatory deadlines.
• Partner with various third parties to implement the managed care strategy and usage of third-party mediation processes to ensure collaboration and performance standards are met
• Ensure the integrity of dispute resolution decisions and documentation.
• Maintain positive payer relations. Regularly meet with payers to develop relationships.
• Monitor legislative and regulatory changes affecting No Surprise Billing process and update internal processes accordingly.
• Maintain confidential records and ensure data reporting aligns with federal and/or state guidelines.
• Manage budgets, resources, and vendor relationships tied to Managed Care operations.
• Provide regular reporting and performance metrics to executive leadership.
• Create an environment of continuous process improvement.
• All other duties as assigned.

Qualifications:

• Bachelor’s degree and 10+ years’ experience in payer contracting or other relevant healthcare administrative function (e.g., revenue cycle management, health plan administration, network development)
• Master’s degree in relevant field (e.g., healthcare or business administration) preferred
• Experience and understanding of No Surprises Act and its corresponding regulations, and health policies
• Strong knowledge of managed care and provider regulatory environment and compliance issues
• Financial analysis and negotiation skills
• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies.

The Company

Company Philosophy

NorthStar provides quality anesthesia care while improving efficiency and accountability. It’s a proven performance-driven approach that’s better for everyone – patients, hospital administrators, surgeons, and anesthesia providers.

Company Mission

To provide the best clinical care and to help hospitals and surgery centers succeed.

NorthStar Anesthesia Overview

NorthStar Anesthesia was founded in 2004 by an anesthesiologist and CRNA (certified registered nurse anesthetist) that saw firsthand the frustrations and daily challenges caused by the traditional anesthesia care model.  

What if they could fix the broken anesthesia care model? What if anesthesia contractors stopped being absentee managers? What if patients, surgeons, providers and hospital administrators were treated more like customers and less like cogs in the system? The answer was NorthStar.  NorthStar Anesthesia is an anesthesia management company that provides anesthesia services to large and small hospitals, surgery centers, hospital administrators, surgeons, anesthesia providers and patients.

Today, NorthStar has over 180 facility contracts across 21 states and employs more than 2,500 providers nationwide.

NorthStar is backed by world-class financial partners.  It is a portfolio company of TPG, a global private investment firm with more than $70 billion in assets under management.  NorthStar has also recently announced a partnership with Cranemere, a holding company that partners with outstanding businesses for the long term. 

Benefits Include Medical, Dental, Life, Long Term/Short Term, Malpractice, 401k and more.

EEO/AA/M/F/Veteran/Disability Employer