Executive Director, Provider Contracting (Healthcare)

Location: Remote within the continental United States; California, New York, Alaska, and Hawaii are excluded. Ability and willingness to travel is required.

Base pay: $161,500–$299,700 annually. The role also aligns with an annual incentive bonus plan.

Company

hirify.global provides health insurance and healthcare network services through commercial and government programs.

What you will do

• Develop and manage provider contracting and network strategies for commercial and government networks.
• Draft, negotiate, and complete reimbursement contracts for hospitals, professional groups, hospital-based physicians, and newly recognized provider categories.
• Ensure network adequacy and pursue competitive discounts and access through contract negotiations and relationship management.
• Analyze reimbursement programs, prepare reporting, and take corrective action as needed.
• Resolve contractual disputes and oversee contracting operations, staff performance, training, staffing, budgets, and operational and financial reporting.
• Communicate with the Vice President of Network Management and comply with HIPAA, corporate integrity, confidentiality, and other applicable policies.

Requirements

• Bachelor’s degree plus 15 years of experience in healthcare or insurance administration, hospital or healthcare contracting, and hospital or physician relations; or 19 years of relevant experience without the degree.
• 7 years of management experience.
• Knowledge of hospital and provider reimbursement strategies and policies.
• Strong verbal, written, interpersonal, relationship-building, negotiation, and leadership skills.
• Experience representing an organization to external entities, resolving issues, preparing executive and employee presentations, working cross-functionally in a highly matrixed environment, and meeting deadlines in a fast-paced environment.
• Accuracy and sound judgment in financial matters, including contract performance and impact.
• Experience overseeing annual budgets, allocating resources, translating initiatives into business cases, and conducting cost-benefit analyses to evaluate ROI.
• Remote employees must live within the continental United States, excluding California, New York, Alaska, and Hawaii.
• Sponsorship is not available.

Nice to have

• MBA or Master’s degree in Health Administration.

Culture & Benefits

• Remote telecommute position with travel as required.
• Professional development plans and opportunities for career growth.
• Health and wellness benefits, 401(k), pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, and tuition reimbursement.
• Employment may be contingent upon successful completion of drug screening in accordance with applicable law.