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. Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit’s policies and standards, government laws, and regulations.

Responsibilities

• 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.
• Ability to travel for internal and provider-facing meetings.

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.
• Valid driver's license.
• Applicants must be in the state of Missouri to be considered for this role.

This is a remote position that will require regular travel. The home office is in the St. Louis, MO area.

Pay

Pay Range: $141,500.00 - $261,400.00 per year. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field, or office work schedules

Benefits may be subject to program eligibility.