Director, Contracting & Network Development

About the role

Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.

Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions.

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

Perform complex financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives.

Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets.

Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning.

Able to travel.

Responsibilities

• Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit’s policies and standards, government laws and regulations.
• Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions.
• Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources.
• Perform complex financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives.
• Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets.
• Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning.

Requirements

• Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience.
• 7+ years of combined contracting, network development or provider relations experience.
• Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements.
• Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff.

Qualifications

• Valid driver's license.

Skills

• Strong leadership and management skills.
• Excellent communication and negotiation skills.
• Ability to manage multiple projects simultaneously.
• Proficiency in healthcare industry regulations and compliance.

Benefits

Competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.

Pay

$141,500.00 - $261,400.00 per year

Schedule

Remote-IL