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Senior Director, Contracting

$229.2k - $265.39k

Inland Empire Health Plan

OverviewWhat you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!Reporting to the Vice President of Contracting, the Sr. Director provides strategic leadership and operational oversight of Provider Contracting. The Sr. Director leads complex contract negotiations and ensures all contracting activities align with regulatory requirements and organizational priorities. This position collaborates closely with multiple departments across the organization to build and maintain a network that supports IEHP’s growth, financial sustainability and operational excellence.Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.Additional BenefitsPerksIEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.Competitive salaryState of the art fitness center on-siteMedical Insurance with Dental and VisionLife, short-term, and long-term disability optionsCareer advancement opportunities and professional developmentWellness programs that promote a healthy work-life balanceFlexible Spending Account – Health Care/ChildcareCalPERS retirement457(b) option with a contribution matchPaid life insurance for employeesPet care insuranceKey ResponsibilitiesProvide strategic leadership in developing, implementing, and overseeing organization‑wide contracting strategies to ensure a robust, high‑performing network that supports current and future product lines and organizational goals.Oversee and guide complex negotiations, ensuring timely execution, operational feasibility, and compliance with organizational and regulatory requirements.Champion cross‑departmental collaboration with Compliance, Finance, Legal, Product, Provider Experience, and Quality to ensure smooth contract implementation and optimal provider performance.Develop and implement contracting strategies that support compliance with state and federal regulations as well as NCQA requirements.Drive operational excellence across the full contract lifecycle, from intake to execution. Establish clear SLAs, prioritization frameworks, and performance metrics for all contracting activities. Identify and implement system enhancements that improve efficiency and user experience. Ensure accurate tracking, visibility, and reporting of contract volumes, cycle times, and bottlenecks. Own the development, maintenance, and continuous improvement of contract templates and standard language. Collaborate with subject matter experts to ensure accuracy and relevance. Ensure executive leadership has clear, ongoing visibility into contracting activities, trends, and risks.Foster a high-performing, solutions-oriented culture focused on quality, consistency, and strong cross-functional partnership. Hire, train, and manage support staff, while monitoring and evaluating outcomes. Conduct performance reviews of each Team Member within IEHP guidelines.Perform any other duties as required to ensure Health Plan operations and department business needs are successful.QualificationsEducation & Requirements A minimum of 7 years’ progressive experience in network contracting and at least 5 years of leadership experienceExperience with various managed care compensation methodologies related to Medicaid, Medicare and Marketplace government-sponsored programsBachelor’s degree in a related field from an accredited institution requiredMaster’s degree in a related field from an accredited institution preferredKey QualificationsValid California Driver’s License preferredExtensive knowledge of network development, managed care delivery systems, and health plan operationsDeep understanding of contracting structures, alternative payment methodologies, risk‑based arrangements, regulatory requirements, contract performance evaluation, and reimbursement methodologiesExceptional analytical, strategic planning, and problem‑solving skills, with the ability to lead complex initiatives and make informed decisionsStrong leadership capabilities with demonstrated success managing teams, developing talent, and driving cross‑functional collaborationOutstanding communication, negotiation, relationship‑building, and organizational skillsCultivate and sustain high impact, collaborative relationships with providers and key stakeholdersStrategically manage complex, competing priorities and deliver results under tight deadlinesShape, lead, and execute enterprise level provider contracting and network development strategiesStart your journey towards a thriving future with IEHP and apply TODAY!Work Model LocationThis position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)Pay RangeUSD $229,195.20 - USD $265,387.20 /Yr.Job SummaryCategory: LeadershipPosition Type: Regular Full-TimeWork Model: Hybrid

Vacancy posted 9 days ago
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