Senior Director Healthcare Procurement & Contract Strategy

About the role

The Senior Director of Healthcare Procurement & Contract Strategy is responsible for all managed care contracting and vendor administration (MCVA) activities for the Aurora-based Plan Units. This position works alongside and directly manages a tenured Aurora-based MCVA team, and collaborates with executive leadership and operational management to develop and manage the MCVA’s strategic goals.

Responsibilities

• Strategic direction, planning, and management of managed care vendor contracting and monitoring
• Negotiates and implements new strategies for innovative managed-care vendor and provider contracting such as direct contracting, risk sharing, narrow networks, and bundled payments
• Engages with experts in the field to identify opportunities
• Oversees the MCVA staff for the Aurora-based Plan Units
• Analyzes contract performance from utilization, financial, operational and member service standpoints
• Supervises, leads, and delegates work; coaches, mentors, and develops employees
• Recommends hires and promotions, directs, and evaluates employment decisions for all assigned positions
• Develops and coordinates policies and procedures
• Oversees continued employee training requirements, safety, and quality initiatives
• Demonstrates the Fund’s Diversity and Inclusion (D&I) principles in their conduct with employees

Qualifications

• 10 – 12 years or more of experience in a healthcare, managed care, or insurance organization
• Excellent understanding of, and experience in leading, contracting efforts of the full range of managed care and healthcare approaches, including innovative models such as risk-sharing arrangements and capitation, as well as more unique and/or direct-provider arrangements
• Working knowledge of current legislative requirements under ACA, COBRA, HIPAA, DOL, etc. as related to health benefits, eligibility, payment, appeals, etc.
• Strong data and financial analysis acumen and experience
• Strong report writing and presentation experience
• Demonstrated strong leadership and interpersonal skills to lead others to achieve results in a team-oriented environment
• Knowledge of and experience working with union, Taft-Hartley Trust Funds or mission-driven non-profit organizations are a plus
• Bachelor's degree in Business, Healthcare Administration, related field or equivalent work experience required (master’s degree preferred)
• 15% ~ 25% travel required based on business needs and location relative to MCVA staff

Benefits

• Medical
• Dental
• Vision
• Paid Time-Off (PTO)
• Paid Holidays
• 401(k)
• Short- & Long-term Disability
• Life
• AD&D
• Flexible Spending Accounts (healthcare & dependent care)
• Pension
• Commuter Transit
• Tuition Assistance
• Employee Assistance Program (EAP)