Director, Health System Contracting & Strategy

UT Southwestern Medical Center; Dallas (TX); On-site; USD 140,000 - 190,000; Full time

Benefits offered by this job

Healthcare

PTO and paid holidays

On-site childcare

Wage

Merit increases

Job summary

UT Southwestern Medical Center seeks a Director of Health Systems Managed Care Contracting to provide executive guidance and operational leadership. You will oversee staff developing contracting strategies, negotiate with payors, and align analytics with performance goals.

You will collaborate with faculty and administrative teams, pursue new managed care opportunities, monitor contract performance, and guide strategic pricing decisions in a complex healthcare environment.

Qualifications

• Bachelor's Degree in Business Administration, Health Care Administration, or related field.
• 10 years of contracting and business solutions in healthcare environment.
• Significant managed care contracting and analytic experience.
• Master's Degree in an appropriate field.

Responsibilities

• Conduct and successfully conclude, in a timely manner, contract negotiations that meet or exceed the financial and operational objectives of UTSW. Proactively enlist legal, operational, and financial input and support in order to achieve maximum benefit for the UTSW System.
• Work closely with UTSW faculty, facilities, and administrative teams to identify contracting needs and business office requirements. Whether through direct payor discussion or working through established payor interfacing structures, ensure UTSW's various and evolving needs are being addressed.
• Market and develop new business opportunities through pursuing managed care contracts. Develop and maintain positive business relationships with third party payors.
• Stay up to date on current and proposed federal and state healthcare policy and regulations that may impact UTSW. Work with UTSW leadership to develop and implement preferred strategies leading to continued UTSW success.
• Support analytics and ensures quality control of the reports produced. Oversee the development and routine production of financial reporting in support of contracting, monitoring, and planning activities.
• Facilitate UTSW's strategic pricing review by incorporating both internal input and available external resources. Work closely with UTSW leadership to process information that informs strategic decision making to best position UTSW for continued success.
• Monitor performance of contracts, regarding their financial performance, volume trends, product implementation, and acts as liaison to facility and faculty departments and payors.
• Manage analytic staff which includes recruitment, performance management, counseling and discipline, on-going training, and termination.
• Coordinate UTSW's interaction with other affiliated organizations' contracting staff. Attend project planning meetings of regional or national organizations involved in health services contracting.
• Develop and implement policies and procedures for operation of unit.
• Serve on, attend, and participate in UT Southwestern committees, meetings, and functions as requested by Administration.
• Perform other duties as assigned.

Education

Bachelor's Degree in Business Administration, Health Care Administration, or related field

Master's Degree in an appropriate field

Job description

UT Southwestern Medical Center seeks a Director of Health Systems Managed Care Contracting to provide executive guidance and operational leadership. You will oversee staff developing contracting strategies, negotiate with payors, and align analytics with performance goals.

You will collaborate with faculty and administrative teams, pursue new managed care opportunities, monitor contract performance, and guide strategic pricing decisions in a complex healthcare environment.