VP of Business Development

Welcome to Pathways Health Partners, the Accountable Care Organization (ACO) that's leading the charge in helping independent providers transition to Value-Based Care.

What We Do:

Medicare REACH ACO: We're at the forefront of Medicare innovation.Medicare Advantage MSO: Providing top-notch services to our Medicare Advantage patients.Commercial MSO: Managing care for approximately 16,000 patients across North-West/Central Florida.Where We Operate: From The Villages to St. Petersburg, and across to Mount Dora, we've got you covered!

Our Services:

Hospital Medicine Group: Delivering exceptional care in hospitals.Affiliated Medical Practices: Managing several top-tier medical practices.Insurance Agency: Offering comprehensive insurance solutions.Join us on our journey to better health and value-based care!

Job Summary:

The Vice President of Business Development leads strategic growth, provider network expansion, and business partnerships across the ACO, MSO, and affiliated healthcare operations. The position directs the business development team in identifying, screening, and advancing MSO prospects and contracting opportunities and serves as the executive lead for growth strategy and the business-development aspects of the transition from ACO REACH to ACO LEAD.

Position Responsibilities:

• Set the annual business development strategy, budget, recruitment targets, and market-expansion plan.
• Oversee recruitment and retention of eligible ACO participants, physician groups, and practices in accordance with CMS requirements.
• Determine growth priorities based on geographic coverage, quality, utilization, total cost of care, and financial viability.
• Direct beneficiary-alignment growth and retention strategy while preserving beneficiary freedom of choice.
• Direct the business development team responsible for prospect identification, outreach, preliminary qualification, follow-up, pipeline documentation, and recommendations.
• Establish screening criteria for MSO prospects based on service needs, readiness, strategic fit, and potential financial contribution.
• Determine which prospects advance and coordinate financial, operational, legal, and compliance due diligence.
• Oversee preparation, negotiation, renewal, legal review, and approval progression of MSO agreements.
• Oversee handoff of contracted organizations to MSO Operations with clear service scope, responsibilities, and timelines.

Qualifications and Education Requirements:

Education: Bachelor’s degree in business, healthcare administration, or a related field; advanced degree preferred.
Experience: Eight to ten years of progressive healthcare business development experience with substantial leadership and staff-management responsibility. Experience with physician networks, MSO contracting, Medicare, value-based care, and financial evaluation; ACO REACH/LEAD knowledge preferred.
Certification/Licensure: Valid Florida Driver License (unencumbered and no points); No specific certification or licensure required; position-related credentials preferred as applicable.
Training and Knowledge Required at Time of Hire: Strong knowledge of healthcare business development, provider-network growth, MSO contracting, Medicare, value-based care, financial evaluation, negotiation, executive communication, team management, and cross-functional coordination.

Why Work for Pathways?

Pathways Health Partners is a growing company based in Leesburg, FL. We are proud of our professional yet family culture with the executive team working daily alongside our team members. We provide competitive salaries, bonuses for all team members, and a benefits package that is second to none.

• Medical Insurance for Employee and Spouse/Significant Other paid up to 100% by Pathways! Addition of family coverage for dependents at a fraction of the cost 25K life insurance for employees 100% paid by Pathways! Increasing Employee coverage or adding spouse/dependents at a fraction of the cost Vision and Dental Coverage available at a very low cost for employees, spouses, and family 401K retirement plan with 100% match up to 4% of annual pay Paid holidays Ample Paid Time Off (PTO) for vacation/sick/personal days

We look forward to speaking with you about this opportunity