Director of Provider Contracting
$121.2k - $225.2kHealth Care Service Corporation
Job Summary
This position is responsible for developing and implementing the methodology which results in competitive contract pricing while maintaining a broad network of hospitals, physicians, behavioral health and ancillary providers on a statewide basis. Directing and overseeing management and staff responsible for contracting, provider relations activities, network directories, provider/facility database and reporting. This position collaborates with HCSC Network Management colleagues in the development of Enterprise Network strategies and initiatives.
JOB REQUIREMENTS:
* Bachelor Degree and 10 years health care or health insurance experience to include 4 years contract administration and facility or provider relations experience OR 14 years of health care or health insurance experience to include 4 years contract administration and facility or provider relations experience.* 4 years management experience including hiring, performance management, change management and professional development.
* Reimbursement Methodology expertise* Leadership skills.* Financial acumen, experience with oversight of budget, and experience with financial managed care contracting.* Knowledge of facility/provider contracting methodologies and pricing strategies and the facility or provider community.* Presentation skills.* Negotiation, contracting skills and analytical and strategic thinking skills.* Verbal and written communication skills.
* Overseeing the annual budget and allocating resources for various projects and operational needs.
* Translating needs and initiatives into compelling business cases.
* Conducting cost-benefit analyses to justify investments and ensure ROI.
PREFERRED JOB REQUIREMENTS:* Masters Degree.* Experience developing strategies and implementing initiatives.* Experience developing budget.
Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting .
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Base Pay Range
$121,200.00 - $225,200.00
Exact compensation may vary based on skills, experience, and location.
- As the Director of Human Resources at Bosque School, you will play a key leadership role... ...announcements, job descriptions, offer letters, contracts, and related documentation. Oversee... ..., collaboration, and shared values. Provide support in resolving employee concerns and...SuggestedFor contractorsSeasonal workWork at officeLocal areaImmediate start
- Korn Ferry has partnered with the University of New Mexico Hospital (UNMH) to lead the search for their next Director, Inpatient Advanced Practice Providers (Neurosurgery) . This position is based on-site in Albuquerque, New Mexico. Position Overview The Director, Inpatient...SuggestedLocumShift workNight shift
$163.2k - $204k
...will be referred to an external recruiter contracted by the company to assist in the hiring... ...accomplished tax professional to serve as our Director, Corporate Tax, a critical leadership... ...'s income tax strategy. This position provides enterprise-wide oversight of tax...SuggestedFull timeWork experience placementWork at office$112.7k - $193.2k
...Growing together. As a full time, exempt Director of Pharmacy, you will oversee all... ...support team. Primary Responsibilities: Provide system-wide strategic leadership for... ...-level financial performance, including contracting, purchasing strategies, and cost-reduction...SuggestedMinimum wageFull timeContract workWork experience placementLocal area$157.25k - $185k
...Director, Transaction ManagementAs a member of Cushman & Wakefield's Portfolio Advisory... ...course of transactions; Lead, direct and provide strategic guidance to said brokers and the... ...strategies;Develop occupancy expansion/contraction strategies;Produce and/or support business...SuggestedMinimum wageContract workLocal areaFlexible hours- ...experienced, driven, and highly organized State Director to lead the execution, and day-to-day... ...labor, and organizational requirements.Provide regular reporting and operational... ...expected to range from $6,500 to $7,500.For contract-based candidates, compensation may be...Contract workWork at officeLocal areaRemote workWeekend workAfternoon shift
$112.7k - $193.2k
...Director Of PharmacyExplore opportunities with CPS, part of the Optum family of businesses... ...support team.Primary Responsibilities:Provide system-wide strategic leadership for pharmacy... ...-level financial performance, including contracting, purchasing strategies, and cost-...Minimum wageFull timeContract workWork experience placementLocal area- ...database administration for an assigned area; provide oversight for department technology... ...support to assigned Department Director. Job descriptions are intended to present... ...and maintenance; ensure compliance with contract specifications; consult with vendors concerning...Contract workWork at office
- ...Pharmacy Director - Medication Safety Compliance & Regulatory Directs, manages, and oversees... ...Services: Ensure pharmacy services are provided in a timely manner consistent with... ...dust fumes noise. Subject to an annual contract and performance appraisal. Tuberculosis...Contract workRelocation package
- ...activities of one or more unit (s) in order to provide quality patient care. Actively supports... ...in conjunction with Unit Medical Director. Ensure adherence to Hospitals and departmental... ...req PPE * Subject to an annual contract and performance appraisal * Tuberculosis...Full timeContract workRelocation packageShift work
- ...Associate Director, AI Application EngineerKnown for being a great place to work and build a career, KPMG provides audit, tax and advisory services for organizations in today's most important industries. Our growth is driven by delivering real results for our clients....H1b
- ...investment firm that emphasizes business building. Role : Associate Director, MarTech Remote - USA Key Responsibilities: Develop and... ...practices and updates to recommend and implement enhancements. Provide comprehensive quality assurance for all configurations and implementations...Local areaRemote workWorldwideWork visa
- ...The Human Resources Director provides strategic leadership and operational oversight for all human resources functions at Animal Humane New Mexico (AHNM). The HR Director serves as a trusted advisor to leadership and employees, overseeing recruitment, employee relations...
- ...Human Resources Director Career Opportunity Valued and respected for your expertise in human resources and leadership abilities. Are you... ..., the nation's largest in‑patient rehabilitation company, provides a supportive environment where you can contribute to the mission...Full timePart timeWork experience placementHome officeFlexible hours
- ...RESUME MUST INCLUDE DATES OF EMPLOYMENT FOR EACH JOB (MONTH & YEAR) AND DETAILS OF WORK EXPERIENCE/JOB DUTIES* Why does the job exist? Provides oversight of CYFD's Organizational Development and Recruitment programs by ensuring consistent application of standardized...Work experience placementWork at officeFlexible hours
- ...development and processes. The HR Manager reports directly to the Director of Human Resources and works collaboratively with the People... ...& DevelopmentDirectly supervise applicable HR personnel providing day-to-day direction, support, and accountabilityAssess current...Work experience placementWork at officeLocal areaFlexible hours
- ...Director, Human ResourcesAs the Director, Human Resources, you will have the following duties:The Director, Human Resources carries out... ...banding and pay-for-performance that waives parts of Title 5 to provide NNSA the tools and flexibilities needed to gain and maintain a...
- ...component leaders across NNSA and DOE to ensure that human resources policies, procedures, and practices, including workforce planning strategies, foster sound human resources management, and provide for an accountability system that adheres to merit system principles....
$120k - $160k
...re honored to once again receive this national recognition. A valued client of ours is looking for a Human Resources Director that provides strategic and tactical leadership for all core HR functions. This role serves as a key partner to executive leadership, fostering...Hourly payWeekly payTemporary workLocal area- ...for pets, adopters, and the community. All animal residents are provided with a healthy, safe, and loving environment. Supporters can... ...competence, and transparent accountability. The Human Resources Director provides strategic leadership and operational oversight for all...Work at officeLocal area
$134k - $168k
...0, WWT is a global technology solutions provider leading the AI and Digital Revolution. WWT... ...is hiring an Associate Client Solutions Director (ACSD) to lead delivery of strategic... ...such as proposal strategy, pitch approach, contract writing, and negotiation strategy...Full timeContract workShift work$60k
...Health license Minimum of five years of Employment Benefit Sales experience Or any combination of education and experience which would provide an equivalent background Salary Band : S08 This selected candidate will be expected to work fully remote in Texas. The candidate...Work at officeLocal areaRemote workWork from homeFlexible hours- ...Manager (RAM) role with Wireless Vision would be a perfect fit for you. In this role, you will represent the T-Mobile brand while providing exceptional customer service and driving profitability. You will also inspire team members, manage store operations, and strive to...Local areaRelocationFlexible hoursNight shiftWeekend work
- ...Optum New Mexico is seeking an Associate Medical Director to join our team in Albuquerque, NM. Optum is a clinician-led care organization... ...together. About the Role The Associate Medical Director (AMD) provides leadership to physicians, other clinicians, and staff. Partners...Work from homeRelocation
$300k - $360k
...closely with the CEO, executive leadership team, and Board of Directors to align talent, culture, and organizational design with rapid... ...safety regulations, and proactively mitigate safety risks. Provide regular safety performance updates to the CEO and Board, elevating...Full timeFor contractorsImmediate startShift work- ...while making sound, defensible decisions. You will lead employee relations initiatives, develop reporting and tracking mechanisms, provide leadership coaching and training, and collaborate with HR, Legal, Compliance, and operational partners to foster a fair, respectful...Full time
$111.3k - $215.1k
...Known for being a great place to work and build a career, KPMG provides audit, tax and advisory services for organizations in today's... ...we are, join our team. KPMG is currently seeking a Manager Contracts (State & Local Government) to join our Enterprise Contracting...Contract workH1bWork at officeLocal area$85k - $100k
...5601-B Balloon Fiesta Parkway NE Albuquerque, NM 3DGlass Solutions strives to be the most innovative advanced packaging solution provider for the semiconductor industry. We are looking for someone with a strategic brain and hands‑on focus to join the team and lead our...Work at officeMonday to Friday- ...their careers to these vital roles. As a fast-growing, leading provider, we proudly serve patients across Arizona, Colorado, Kentucky,... ...Mexico, Tennessee, Texas, and Utah. Job Overview The Staffing Director leads and oversees the Staffing Department to ensure all patients...For contractorsLocal area
- ...site at our administrative office in Espanola, New Mexico, Monday through Friday.*** Position Overview The Human Resources Manager provides strategic leadership and oversight of all HR functions to ensure effective workforce management and organizational success. This...Work at officeMonday to FridayFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Director of Provider Contracting. Be the first to apply!
- director of automation Albuquerque, NM
- director lease administration Albuquerque, NM
- director workforce management Albuquerque, NM
- integration director Albuquerque, NM
- director of aviation Albuquerque, NM
- director of knowledge management Albuquerque, NM
- director management consulting Albuquerque, NM
- dental director Albuquerque, NM
- director of telecommunications Albuquerque, NM
- director of public safety Albuquerque, NM




