Sr Director, Provider Contracting

Posted on Nov 15, 2018 by Affinity Executive Search

Columbus, OH 43085
Senior Appointments
Immediate Start
Annual Salary
Full-Time
SR DIRECTOR, PROVIDER CONTRACTING COLUMBUS, OHIO

GREAT MANAGER HIGHLY MOTIVATED TEAM RELOCATION OFFERED.

GROWING HEALTH PLAN NEEDS A Strong communicator with a deep knowledge of value- based contracting and proven ability to build relationships with providers and senior leadership.

Drive the development and implementation of network contracting and network development.

Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between health plan and vendors

Work with business development and providers to develop a strategy for developing new networks including plans to meet network access and unit cost objectives

Determine necessary resources to develop the network and assemble the appropriate team across all business functions. Complete development of budget in alignment with corporate network management and financial objectives

Support the new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources

Lead the network development specialists during the implementation and development stages

Monitor performance, develop, and implement business solutions to address process and quality gaps. Communicate with senior management and other leaders regarding network strategy and planning

Complete negotiations with complex and major provider contracts as needed to support network objectives
QUALIFICATIONS:

- Bachelors degree in Healthcare Administration, Business Administration, related field or equivalent experience.

-7+ years of related contracting or healthcare operations experience.

-Experience establishing new markets including the development of the strategy and oversight of the implementation.

-Strong communication skills dealing with multiple levels within the organization and with the provider community.

Reference: 559198585

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