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2 дня назад

Director of Provider Contracting

121 200 - 225 200$
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
Director of Provider Contracting (Healthcare): Developing competitive contract pricing and maintaining a broad statewide network of hospitals, physicians, behavioral health, and ancillary providers with an accent on reimbursement methodology, provider relations, and network strategy. Focus on leading contracting operations, overseeing budgets and resources, negotiating managed care agreements, and building business cases supported by cost-benefit analysis.

Location: Albuquerque, New Mexico, United States

Base pay: $121,200–$225,200 annually, plus eligibility for an annual incentive bonus.

Company

hirify.global provides health insurance services and invests in employee development and long-term career growth.

What you will do

  • Develop and implement methodology for competitive provider contract pricing.
  • Maintain a broad statewide network of hospitals, physicians, behavioral health, and ancillary providers.
  • Direct contracting and provider relations activities, including network directories, provider databases, and reporting.
  • Collaborate on enterprise network strategies and initiatives.
  • Oversee annual budgets, allocate resources, and manage operational projects.
  • Develop business cases and conduct cost-benefit analyses to support investments and return on investment.

Requirements

  • Bachelor’s degree and 10 years of healthcare or health insurance experience, including 4 years in contract administration and facility or provider relations; alternatively, 14 years of relevant experience with the same 4-year specialization.
  • At least 4 years of management experience, including hiring, performance management, change management, and professional development.
  • Expertise in reimbursement methodology and facility/provider contracting methodologies.
  • Financial acumen, budget oversight experience, and experience with financial managed care contracting.
  • Negotiation, contracting, analytical, strategic thinking, presentation, and communication skills.

Nice to have

  • Master’s degree.
  • Experience developing strategies, implementing initiatives, and developing budgets.

Culture & Benefits

  • Curated development plans and professional growth opportunities.
  • Health and wellness benefits, disability insurance, supplemental life insurance, and an employee assistance program.
  • 401(k) savings plan and pension plan.
  • Paid time off, paid parental leave, and paid holidays.
  • Tuition reimbursement and other incentives.

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