Healthcare Director, Contracting & Network Development

posted on February 1, 2018

Job Description

Location: Chesterfield, MO

Type: Permanent

Position Purpose:

  • 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
  • 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

Qualifications:

  • 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.
  • License/Certification: Valid driver’s license.

Requirements:

  • Heavy Data Skills – 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.

 

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