Associate Director, Network Contracting - Remote

Primary Responsibilities

• Balance financial and operational impact of contracts to providers, members, UHN, and different customer groups when developing and/or negotiating contract terms
• Develop functional, market level and/or site strategy, plans, production and/or organizational priorities
• Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency
• Evaluate current contract performance to identify potential remediation opportunities and/or cost savings
• Demonstrate understanding of applicable products for different lines of business (Employer and Individual; Medicare and Retirement; Community and State)
• Evaluate current contract performance to identify potential remediation opportunities and/or cost savings
• Demonstrate understanding of and utilize applicable financial tools and reports (internal financial models; external reports) to evaluate performance of current contracts
• Demonstrate understanding of contract language in order to assess financial and operational impact and legal implications of requested contract changes
• Demonstrate understanding of competitor landscape within the market (rates; market share; products; provider networks; market intelligence; GeoAccess)
• Represent department in external meetings to gather relevant information, recommend solutions, execute on deliverables as assigned and explain results/decision/activities
• Develop and/or implement contracting strategies to support new benefits designs and plans

Required Qualifications

• 5+ years of experience in a network management-related role handling complex network providers with accountability for business results
• 2+ years of medical cost and affordability experience
• 2+ years of experience with provider contracting and/or provider network management
• Experience using financial models and analysis to negotiate rates with providers
• Proven solid knowledge of Medicare and Managed Care Reimbursement
• Driver's License and access to reliable transportation
• Ability to travel 25% to AZ, UT, CO, WA, OR
• Ability to work PST or MTN standard business hours

Preferred Qualifications

• Experience with contract negotiations
• Experience developing product pricing and utilizing financial modeling in making rate
• Reside in OR, AZ, UT, CO, or WA