Director Provider Contracting
Director Provider Contracting
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Responsibilities
***This position is remote.
Position Summary:
The Director of Provider Contracting is a key executive leader responsible for the strategic direction and operational execution of provider contracting across DHMSOs Independent Physician Association (IPA) network. This leader oversees a high-performing team managing the full contract lifecycle for physicians facilities and ancillary providers. The Director plays a pivotal role in maximizing clinical financial and experience outcomes across the network by negotiating competitive agreements managing performance and fostering collaborative partnerships with providers and health plan stakeholders. This includes capitation fee-for-service and value-based contract structures. The position supports both short-term operational goals and long-term strategic objectives. The Director must demonstrate a strong command of contracting strategies network development and healthcare financial models while building trusted relationships with IPA physicians health plan partners and internal functional leaders.
Responsibilities may include:
- Directs and develops a cross-functional team of contracting managers specialists and coordinators. Provides coaching performance evaluations and succession planning to build departmental capabilities Leads through influence and accountability cultivating a culture of collaboration and execution.
- Oversees department budget and ensures resource alignment with strategic priorities.
- Leads contract development negotiation and execution with IPA physicians facilities and ancillary providers.
- Manages the contract lifecycle including amendments terminations and letters of agreement.
- Develop agenda and presentation for Contacting Meetings.
- Collaborates with Provider Relations Compliance and Health Plan Strategy to ensure aligned implementation.
- Serves as primary liaison to IPA physicians and practice leaders regarding contract terms expectations and performance. Represents DHMSO in external contract negotiations with health plans and other key partners. Coordinates with Claims UM Compliance and Finance for cross-functional integration and execution.
- Ensures contract compliance with state and federal regulations and internal policy standards.
- Analyzes large data sets related to utilization cost and quality to identify performance improvement opportunities.
- Develops and monitors KPIs for contract effectiveness financial outcomes and provider engagement.
Qualifications
Minimum Qualifications:
- Minimum of eight (8) years of progressive experience in provider contracting payer negotiations managed care strategy
- At least five (5) years in a leadership role managing contracting or network development teams
- Bachelors degree in Healthcare Administration Business or a related field.
- Deep knowledge of capitation models value-based agreements and IPA structures
- Proven negotiation skills and stakeholder relationship-building including with physicians and health plans
- High proficiency in data interpretation budgeting and strategic planning
Preferred Qualifications:
- Supervisory experience preferred
- Experience within integrated delivery systems or clinically integrated networks preferred
- Familiarity with CMS DMHC HIPAA and health plan regulatory standards preferred
- Masters degree in Business Healthcare Administration or Public Health preferred
Required Experience:
Director
Employment Type
Unclear
