Executive Director, Paramount Health Options

Mercy Medical Center; Cedar Rapids (IA); Presencial; USD 180 000 - 300 000; Tempo integral

Resumo da oferta

Paramount Health Options is seeking an Executive Director in Cedar Rapids to provide strategic leadership for PHO and its affiliated organizations, aligning payer contracting, network development, and financial stewardship to support growth and quality. The role demands a strong collaborator who can drive performance, compliance, and member satisfaction across the enterprise.

The ideal candidate will bring 10+ years of healthcare executive leadership, proven experience in payer contracting and

Qualificações

• 10+ years of progressive executive leadership experience in healthcare organizations (PHO/health system/IPAs/MSOs/ACOs).
• Proven payer contracting and managed care strategy experience, incl. negotiation, renewal, and performance oversight.
• Experience overseeing provider network strategy, credentialing, enrollment, and physician engagement initiatives.
• Strong financial management skills: budgeting, performance analysis, forecasting, and strategic planning.
• Experience working with governing boards and executive committees on risk and strategic decisions.

Responsabilidades

• Lead payer contracting strategy, negotiations, renewals, implementation, and contract performance oversight.
• Oversee provider network development, credentialing, enrollment, roster accuracy, and provider relations.
• Manage organizational financial performance, budgeting, reporting, investment oversight, and resource stewardship.
• Support Board and committee governance with clear reporting and strategic recommendations.
• Ensure regulatory compliance (NCQA, HIPAA) and continuous quality improvement.

Conhecimentos

Payer contracting

Provider network development

Financial management

Governance reporting

Regulatory compliance

Leadership

Formação académica

Bachelor's degree in Healthcare Administration/Business

Master's degree (MHA/MBA/MPH)

Descrição da oferta de emprego

Work ShiftDayScheduled Weekly Hours40SummaryThe Executive Director serves as the senior executive leader for PHO’s affiliated organizations, including Paramount Credentialing Verification Organization, Inc., Paramount Real Estate Organization, LC, and Paramount Collaborative Network, LC. In this capacity, the Executive Director provides strategic oversight to ensure alignment of business operations, payer contracting, provider network development, financial stewardship, regulatory compliance, organizational growth and employee satisfaction.Job DescriptionKey ResponsibilitiesLead payer contracting strategy, negotiations, renewals, implementation, and ongoing contract performance oversight.Oversee provider network development, credentialing, delegated credentialing, enrollment, roster accuracy, and provider relations.Manage organizational financial performance, budgeting, reporting, investment oversight, and resource stewardship.Support Board and committee governance through clear reporting, strategic recommendations, and execution of approved priorities.Ensure compliance with applicable regulatory, payer, accreditation, NCQA, HIPAA, and delegated credentialing requirements with an emphasis on continuous quality improvement.Lead staff, strengthen operational processes, foster service excellence, and advance member satisfaction and organizational performance.Experience RequirementsMinimum of 10 years of progressive executive leadership experience within healthcare organizations, including physician-hospital organizations (PHOs), health systems, clinically integrated networks (CINs), independent practice associations (IPAs), management services organizations (MSOs), accountable care organizations (ACOs), or managed care organizations.Demonstrated success leading payer contracting and managed care strategies, including the negotiation, implementation, renewal, and performance oversight of commercial, Medicare, and Medicaid agreements.Significant experience overseeing provider network strategy, credentialing, enrollment, compliance, and physician engagement initiatives.Proven financial management expertise, including budget development, performance management, data analysis, forecasting, and strategic planning.Experience working directly with governing boards and executive committees, providing strategic recommendations, risk assessment, and operational leadership.Demonstrated success leading cross-functional teams and building collaborative relationships with physicians, hospitals, payers, and external stakeholdersEducational RequirementsBachelor's degree in Healthcare Administration, Business Administration, Finance, Public Health, or a related field.Master's degree required, preferably one of the following:Master of Healthcare Administration (MHA)Master of Business Administration (MBA)Master of Public Health (MPH)Ideal CandidateThe successful candidate will be a trusted, collaborative, and financially disciplined healthcare executive with strong payer contracting expertise, sound judgment, excellent communication skills, and the ability to work effectively with physicians, hospitals, payers, governing committees, staff, and external partners. This leader will bring strategic perspective, operational follow-through, and a commitment to responsible growth, service excellence, compliance, and long-term organizational sustainability.About Paramount Health OptionsParamount Health Options (PHO) - a joint venture with Mercy Medical Center in Cedar Rapids - is a provider-owned, for-profit physician-hospital organization with over 2,700 members, is dedicated to advancing the interests of its physician and hospital stakeholders through strategic payer contracting, enrollment, network administration, and value-added business services. Paramount Health Options is located in Cedar Rapids, Iowa.Physical RequirementsLight: Exert up to 20 lbs. of force occasionally and/or up to 10 lbs. of force frequentlyPay Rate TypeSalaryMercy is an independent, community-based organization supporting the Cedar Rapids area for over 120 years.Mercy is an equal-opportunity employer. We value diversity, equity, and inclusion and therefore evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status, and other legally protected characteristics.