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11 дней назад

Provider Contracting Director - Transplant (LifeSource) (Healthcare)

106 400 - 177 300$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
director
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Provider Contracting Director - Transplant (LifeSource) (Healthcare): Leading complex provider contract negotiations and network management for a specialized transplant network across the Northeast with an accent on reimbursement models, bundled arrangements, and network affordability. Focus on managing a portfolio of 40–50 facilities, analyzing claims and financial data, and coordinating strategic agreements with hospitals, transplant centers, and cellular therapy providers.

Location: United States Work at Home; remote work with travel within the Northeast territory as needed. Home internet must use cable broadband or fiber optic service with speeds of at least 10 Mbps download and 5 Mbps upload.

Salary: $106,400–$177,300 annually, depending on experience and geographic location. Eligible for an annual bonus plan.

Company

Cigna Healthcare, a division of hirify.global, supports customers through the healthcare system and provides health and well-being services.

What you will do

  • Lead complex contract negotiations with hospitals, transplant centers, physician groups, and advanced cellular therapy providers across the Northeast.
  • Negotiate reimbursement rates, financial terms, contract language, renewals, amendments, and new provider agreements.
  • Manage a portfolio of approximately 40–50 facilities and oversee the financial and operational performance of assigned agreements.
  • Develop arrangements using fee-for-service, case rates, bundled payments, DRGs, and value-based methodologies.
  • Analyze claims, medical, financial, and market data to support negotiation strategies and affordability initiatives.
  • Partner with Medical Economics, Clinical, Product, Operations, Legal, Compliance, and local market teams on network strategy and contract implementation.

Requirements

  • Bachelor’s degree or equivalent relevant professional experience.
  • At least five years of commercial healthcare contracting and negotiation experience with hospitals, health systems, large physician groups, or other complex delivery organizations.
  • Experience negotiating reimbursement, financial terms, and contractual language with sophisticated provider organizations.
  • Strong understanding of hospital, managed-care, and provider business models.
  • Ability to independently manage substantial contract portfolios, concurrent negotiations, shifting priorities, and senior stakeholder relationships.
  • Strong financial, analytical, negotiation, communication, organization, and decision-making skills, with proficiency in Microsoft Excel, Word, PowerPoint, and related tools.

Nice to have

  • Transplant, stem-cell, or advanced cellular therapy contracting experience.
  • Experience with bundled or case-rate arrangements for complex episodes of care.
  • Knowledge of hospital contracting, network affordability, provider incentive programs, contract modeling, redlining, and network analytics.
  • Established knowledge of provider markets in the Northeast.

Culture & Benefits

  • Full-time employment with health, vision, dental, well-being, and behavioral health benefits from day one.
  • 401(k), company-paid life insurance, tuition reimbursement, paid holidays, and leaves of absence.
  • At least 18 days of paid time off per year.
  • Fast-paced, highly matrixed environment with autonomy and cross-functional collaboration.

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