Executive Director, Provider Contracting

This is a fully remote position, open to applicants in Alabama, +42 more locations.

📋 Description

• Formulate and oversee contracting strategies for both commercial and government networks.

• Create, negotiate, and finalize reimbursement contracts.

• Ensure adequacy of networks for commercial and government sectors.

• Compose reimbursement agreements and negotiate contracts for hospitals, large professional groups, and hospital-based physicians.

• Attain competitive advantages in discounts and access through effective contract negotiations and relationship management.

• Develop strategies and negotiate contracts for newly recognized categories of providers.

• Supervise analysis and reporting for reimbursement strategies and implement corrective actions as necessary.

• Address and resolve contractual issues and disputes.

• Manage the team involved in contracting operations.

• Ensure that staff meet their goals, receive adequate training, and are updated on changes.

• Oversee budgets, operational reporting, and financial reporting.

• Facilitate communication with colleagues, management, customers, and external entities.

• Adhere to HIPAA regulations, Diversity Principles, Corporate Integrity, Compliance Program policies, and other relevant policies.

• Maintain confidentiality regarding company operations.

• Report developments to the Vice President of Network Management.

• Undertake special projects as required or requested.

• Willingness and ability to travel.

⛳️ Requirements

• Bachelor’s degree and 15 years of experience in health care/insurance administration, hospital/health care contracting, and hospital/physician relations, or 19 years of experience in these areas.

• 7 years of management experience.

• Understanding of hospital and provider reimbursement strategies and policies.

• Strong verbal and written communication skills, with effective interpersonal abilities.

• Capability to represent the company to external entities, negotiate contracts, solve issues, and prepare presentations for executives and employees.

• Proven leadership, teamwork, and relationship-building skills.

• Experience in a fast-paced environment with the ability to meet deadlines.

• Proficient in working cross-functionally within a highly matrixed environment.

• Strong accuracy and sound judgment concerning financial matters such as contract performance and impact.

• Effective negotiation skills.

• Experience in managing annual budgets and resource allocation.

• Ability to translate needs and initiatives into compelling business cases.

• Experience in conducting cost-benefit analyses to justify investments and ensure return on investment (ROI).

• An MBA or a Master’s in Health Administration is preferred.

• Must reside within the continental United States, excluding Alaska, California, Hawaii, and New York.

• Sponsorship is not available.

🏝️ Benefits

• Tailored development plans and opportunities for professional growth.

• Comprehensive health and wellness benefits.

• 401(k) retirement savings plan.

• Pension plan.

• Paid time off.

• Paid parental leave.

• Disability insurance coverage.

• Supplemental life insurance options.

• Employee assistance program.

• Paid holidays.

• Tuition reimbursement.

• Additional incentives.

• Annual incentive bonus plan.