Director HS Managed Care Contracting

The University of Texas Southwestern Medical Center; Dallas (TX); On-site; USD 150,000 - 190,000; Full time

Benefits offered by this job

PPO medical plan

PTO and paid holidays

TRS Retirement Programs

Paid Parental Leave

Wellness programs

Tuition Reimbursement

Public Service Loan Forgiveness (PSLF)

Job summary

UT Southwestern Medical Center seeks a Director of Health Systems Managed Care Contracting to guide advanced contracting strategies, negotiate terms, and align payor relations with the system's financial and clinical goals.

You will lead staff, coordinate with faculty and administration, and stay current on policy impacts while supporting strategic pricing and reporting for decision makers.

Qualifications

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

Responsibilities

• Lead contract negotiations to meet financial and operational objectives.
• Coordinate with faculty, facilities, and administrative teams on contracting needs.
• Develop and maintain new business opportunities through managed care contracts.
• Stay updated on current healthcare policy and regulations affecting UT Southwestern.
• Oversee analytics and ensure quality control of contracting reports.
• Assist with strategic pricing reviews and inform decisions with leadership.
• Monitor contract performance and liaise with departments and payors.
• Direct analytics staff recruitment, performance management, and training.
• Coordinate interaction with affiliated organizations' contracting staff.
• Develop and implement unit policies and procedures.
• Participate in UT Southwestern committees and perform other duties as assigned.

Skills

Contracting

Healthcare contracting

Analytical skills

Negotiation

Education

Bachelor's Degree in Business Administration/Health Care Administration

Master's Degree (preferred)

Job description

Job Description - Director HS Managed Care Contracting (977986)

Job Description

Director HS Managed Care Contracting - ( 977986 )

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
• 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

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 discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; gender, including sexual harassment; age; disability; citizenship; and veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.