Senior Director, Provider Contracting Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)

Were with you for lifes journey. At Denver Health purpose isnt just something we believe inits something we live every day for lifes journey.

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Department

* Must Live in Colorado

*This is a hybrid role located in Denver Colorado with a requirement of being in the office 3 days per week.

Job Summary

Under the general supervision of the CFO the Senior Director of Provider Contracting is responsible for developing and implementing new and established contracts for facility and professional agreements with providers on behalf of Denver Health Medical Plan including new programs and services. This role will lead negotiations with providers to include payment terms based on multiple reimbursement models including fee-for-service payment terms valued based payments and gain/risk sharing arrangements. The Senior Director will be accountable for negotiating contract language that aligns with all State and Federal laws/regulations and organizational policies. This position will be responsible for development of practices consistent with the mission and vision of Denver Health Medical Plan.

Essential Functions:

• Oversee organizational contract development and management activities and enforce organizational principles of integrity and compliance (15%)
• Develop standards for contracts including payment terms general language and provisions based on strategy discussions senior management input and organizational needs (15%)
• Evaluate rate proposals changes to reimbursement methodologies and conduct related analyses to ensure continued financial viability of the contract (10%)
• Ensure contracts and proposals are properly entered into organizational databases to measure track and monitor utilization and financial performance (10%)
• Negotiate single case agreements as needed (5%)
• Serve as primary organizational contact during provider contract negotiations (10%)
• Identifies network needs and manages the recruitment and contracting process for new providers and institutions (5%)
• Ensure prompt resolution of all escalated concerns or issues from the Plans provider network (5%)
• Participate in JOC meetings with providers to address contractual payment issues and trends (5%)
• Validate the proper uploading adjudication and pricing of claims (5%)
• Maintain knowledge and understanding of healthcare industry trends standards and current events relative to provider contracting network administration and market (5%)
• Carry out supervisory responsibilities in accordance with the organizations policies and applicable laws. Responsibilities include interviewing hiring and training employees; planning assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems (5%)
• Special projects/ other duties as assigned by the CFO (5%)

Education:

• Bachelors Degree Degree Concentration in Finance Accounting Business Management Healthcare Administration related field Required

Work Experience:

• 10 years Contract Management demonstrated experience required; provider contracting experience preferred required
• 4-6 years manager experience required preferably in healthcare required

Licenses:
Knowledge Skills and Abilities:

• Strong knowledge of Medicaid Commercial ACA Medicare and CHP lines of business is required
• Knowledge of CPT ICD-9 and 10 DRG HCPCS RBRVS bundled payments risk-sharing and provider capitation is essential
• Extensive knowledge and experience with Medicare/Medicaid regulations
• Excellent negotiating skills and proficiency in utilizing and interpreting financial models and analysis
• Requires high attention to detail analytical and critical thinking management skills organization prioritization and problem resolution
• Excellent verbal and written communication leadership delegation collaboration and interpersonal skills
• Ability to be resourceful customer-service oriented and independently problem solve is required

* Must Live in Colorado

*This is a hybrid role located in Denver Colorado with a requirement of being in the office 3 days per week.

Shift

Work Type

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Benefits

At Denver Health we take care of the people who take care of our community. Our benefits are built to support your life your family and your future with generous paid time off fully paid parental leave exceptional retirement contributions comprehensive health coverage and nationally recognized well-being programs. We invest in your growth through tuition assistance career advancement pathways and professional development while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health youre joining a mission-driven organization that invests in you.

Here is a small list of our benefit programs:

• Paid time off starting at 28 days per year inclusive of vacation personal/sick and 7 Holidays

• 100% paid parental leave up to 6 weeks

• Immediate eligibility for retirement plans with employer contribution up to 9.5%

• Generous medical dental vision plans in addition to employer paid disability and life insurance.

• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center

• Free RTD EcoPass (public transportation)

• Childcare discount programs & exclusive perks on large brands travel and more

• Tuition reimbursement & assistance

• Education coaching and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways

• Professional clinical advancement program & shared governance

• Public Service Loan Forgiveness (PSLF) eligible employer free student loan coaching and assistance navigating the PSLF program

• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

About Denver Health

Denver Health is an integrated high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center a 555-bed acute care medical center Denvers 911 emergency medical response system 10 family health centers 19 school-based health centers Rocky Mountain Poison & Drug Safety the Public Health Institute at Denver Health Denver Health Medical Plan and Denver Health Foundation.

As Colorados primary and essential safety-net health care system Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.

Located near downtown Denver Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.

Denver Health is an equal opportunity employer (EOE). We value the unique ideas talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test once a conditional offer of employment has been made. Applicants will be considered until the position is filled.