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Director of Provider Contracting

$121.2k - $225.2k

Health Care Service Corp.

Job Summary This position is responsible for developing and implementing the methodology that results in competitive contract pricing while maintaining a broad network of hospitals, physicians, behavioral health and ancillary providers on a statewide basis. The role directs and oversees management and staff responsible for contracting, provider relations activities, network directories, provider/facility database, and reporting. It collaborates with HCSC Network Management colleagues in the development of Enterprise Network strategies and initiatives. Qualifications (Required) Bachelor’s Degree and 10 years of health care or health insurance experience, including 4 years of contract administration and facility or provider relations experience, OR 14 years of health care or health insurance experience, including 4 years of contract administration and facility or provider relations experience. 4 years of 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 Qualifications Master’s Degree. Experience developing strategies and implementing initiatives. Experience developing budget. Compensation Base Pay Range: $121,200.00 - $225,200.00. Exact compensation may vary based on skills, experience, and location. Employment Statement 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. #J-18808-Ljbffr Health Care Service Corp.

Vacancy posted 1 day ago
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