Director, Provider Contracting

Become a part of our caring community and help us put health first
 The Director, Provider Contracting initiates, negotiates, and executes complex physician, hospital, and/or other provider contracts and agreements for an organization. The Director, Provider Contracting leads and develops a team of high performing contractors. The role requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

• The Director, Provider Contracting negotiates complex value-based contract terms, payment structures, and reimbursement rates with sophisticatedproviders.
• Analyzes financial impact of contracts and terms. Maintains contracts and documentation within a tracking system.
• May assist with identifying and recruiting providers based on network composition and needs. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance.
• Provides input into functions strategy.

Use your skills to make an impact
 

Required Qualifications

• Bachelor's Degree

• 5 years of extensive provider contracting experience inclusive of all provider types

• 5 years of Medicare experience

• Proven leadership experience, including teambuilding

• Comfortable with hiring and building teams

• Proven contract preparation skills, with an in-depth knowledge of Medicare and other reimbursement methodologies

• Strong financial acumen with proficiency in analyzing and interpreting financial trends in the provider contracting arena

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

• Must be willing to travel up to 20%

Preferred Qualifications

• Master's or J.D. Degree
• Experience with ACO/Risk Contracting
• Value based contracting experience
• Prefer applicants to be located in AZ, CA, CO, NV, or NM

Additional Information

• Work at Home Requirements

  • Must have the ability to provide a high speed DSL or cable modem for a home office (satellite and wireless internet service is NOT allowed for this role). Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
  • A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. 
  • A dedicated space conducive to learning and keeping protected health information (PHI / HIPAA) of our members confidential. Your designated work location must be located away from other household distractions, including but not limited to ensuring that alternate caregiving arrangements are made for dependents or other members in the household.
  • As part of our hiring process for this opportunity, we will be using an exciting interviewing …