Director, Contracting – Network Development

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Supervise the activities related to provider contracting, network development, and/or provider relations functions.

• Assist in the development and implementation of organizational policies and procedures.

• Manage provider contracting tasks to ensure efficiency and adherence to the business unit’s policies and standards, as well as relevant government laws and regulations.

• Execute development initiatives for the recruitment and contracting of provider networks in both new and prospective markets, as well as expansions in existing markets.

• Facilitate the launch of new business ventures in diverse markets while taking into account unique market conditions, the provider community, budget limitations, and available resources.

• Conduct intricate financial analyses to pinpoint opportunities for medical cost improvements, formulate strategies to achieve financial objectives, and implement contracting strategies to fulfill these goals.

• Supervise the contracting and network development team and external consultants in the establishment of provider networks for new and expanding markets.

• Evaluate performance, create, and execute business solutions to bridge process and quality gaps, while effectively communicating network strategies and planning.

• Willingness to travel.

⛳️ Requirements

• Bachelor’s degree in Business Administration, Health Care Administration, a related field, or equivalent experience.

• Over 7 years of combined experience in contracting, network development, or provider relations.

• Prior experience in Medicaid/Medicare contracting and negotiating agreements with hospitals, large physician groups, and ancillary services.

• Previous management experience, including responsibilities for hiring, training, task assignment, and performance management of staff.

• Possession of a valid driver’s license.

• Candidates must reside in the state of Pennsylvania to be considered for this position.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K and stock purchase plans.

• Tuition reimbursement program.

• Paid time off along with holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.