Sr Director, Provider Contracting

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Location
Columbus, OH
Job Type
Direct Hire
Degree
Bachelor
Date
Nov 27, 2018
Job ID
2628605
Sr Director, Provider Contracting – Columbus, OHIO

Great manager – highly motivated team –relocation offered.

Growing health plan needs a strong communicator with a deep knowledge of value- based contracting and proven ability to build relationships with providers and senior leadership. 

Drive the development and implementation of network contracting and network development.

·  Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between health plan and vendors


·  Work with business development and providers to develop a strategy for developing new networks including plans to meet network access and unit cost objectives


·  Determine necessary resources to develop the network and assemble the appropriate team across all business functions. Complete development of budget in alignment with corporate network management and financial objectives


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


·  Lead the network development specialists during the implementation and development stages


·  Monitor performance, develop, and implement business solutions to address process and quality gaps. Communicate with senior management and other leaders regarding network strategy and planning


·  Complete negotiations with complex and major provider contracts as needed to support network objectives
Qualifications:

- Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience.
 
-7+ years of related contracting or healthcare operations experience.
 
-Experience establishing new markets including the development of the strategy and oversight of the implementation.
 
-Strong communication skills dealing with multiple levels within the organization and with the provider community.