Director HS Managed Care Contracting

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

WHY UT SOUTHWESTERN?

With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the No. 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you ‿ ll discover a culture of teamwork, professionalism, and a rewarding career!

JOB SUMMARY

The Director of Health Systems Managed Care Contracting provides advanced administrative guidance, operational management of staff responsible for development of health system contracting strategies, negotiations, coordinating facility and faculty business office issues with payors, producing supporting analytics, representing health system's evolving needs to stakeholders, and maintaining relationships with providers and payors for UT Southwestern Medical Center (UTSW).

EXPERIENCE AND EDUCATION

Required

Education

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

Experience

• 10 years of experience in contracting and business solutions in healthcare environment

• In addition, must have significant managed care contracting and analytic experience

Preferred

Education

• Master's Degree in an appropriate field

JOB DUTIES

• 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.

BENEFITS

UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer

Learn more about these and other UTSW employee benefits!

Salary Information

Salary is commensurate with education, skills, and relevant experience.

SECURITY AND EEO STATEMENT

Security

This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discriminatio