Director of Provider Contracting

High-growth, Value Based Healthcare practice, seeking Director of Network Contracting in growth role!

  • REMOTE
  • Fort Lauderdale, FL
  • $150,000 - $175,000
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A bit about us:

We are changing accessibility to healthcare through value-based relationships with Payors and are the fastest-growing practice of our kind in the country with a National footprint! Our model is changing healthcare for close to two million patients and we are growing close to 50% year over year.

You will be responsible for negotiating competitive rates for our Physician Practices with Payors.

Why join us?

  • Opportunity to join a disruptive Healthcare org
  • Remote environment (preference for someone who resides in the state of Florida)
  • Opportunity to be a part of high-level negotiations

Job Details

Responsibilities:
  • Responsible for negotiating value-based and fee for service contracts and contract management with payors
  • Oversee Fee-for-service, value-based and risk-bearing entity contract management (including identification of opportunities and contract management, including contract renegotiations, reviews, database, and CRM)
  • Negotiate contracts to obtain the most competitive reimbursement
  • Develop a contracting process to evaluate contract terms
  • Evaluate, review and analyze to determine the financial impact of contracts
  • Prepare and present contracting pipeline and analysis to internal leadership
  • Partner with the Corporate Development team to prioritize target markets and payor contracting opportunities
  • Partner with Economics and Finance teams to determine the feasibility of contract success and apply analyses to negotiation strategies

Qualifications:
  • Bachelor’s degree
  • 5+ years of leadership experience within a managed care or value-based care-oriented healthcare organization
  • Proven experience developing strategies and having oversight of implementation of strategies
  • 5+ years in a network management related role with contracting and negotiations experience involving payors and at-risk delivery systems, and structuring and managing fee-for-service and value-based agreements
  • Understanding of health care pricing and reimbursement methodologies (including incentive, risk-based models, network development)
  • Experience identifying, developing, and cultivating relationships with payor partners and risk-bearing provider organizations
  • Experience developing and leading execution of value-based business models associated with provider organizations (single specialty, multi-specialty, IPA etc.)
  • Knowledge of managed care market required (payors and risk-bearing organizations)
  • Familiarity with healthcare pricing, risk-based contracting, including capitation and gain sharing
  • Knowledge of principles of managed care negotiation
  • Role will require up to 25% travel
Easy Apply Now
Easy Apply Now
Job Details
Managed by Jobot Pro
Location
REMOTE
Job Type
Permanent
Compensation
$150,000 - $175,000