Executive Director, Paramount Health Options

mercycare; Stati Uniti; In loco; USD 180.000 - 260.000; Tempo pieno

Descrizione del lavoro

Paramount Health Options (PHO) is seeking an Executive Director to provide strategic leadership across affiliated organizations and drive payer contracting, provider network development, and financial stewardship. This senior role partners with physicians, hospitals, and external stakeholders to advance growth, compliance, and patient value.

The ideal candidate has 10+ years of executive healthcare leadership, strong transaction and network strategy experience, and a track record of driving

Competenze

• Minimum of 10 years of progressive executive leadership experience in healthcare.
• Proven experience leading payer contracting and managed care strategies.
• Significant experience overseeing provider network strategy, credentialing, enrollment, and compliance.
• Strong financial management including budgeting, forecasting and reporting.
• Experience working with governing boards and executive committees.

Mansioni

• Lead payer contracting strategy, negotiations, renewals, implementation, and oversight of contract performance.
• Oversee provider network development, credentialing, enrollment, roster accuracy, and provider relations.
• Manage organizational financial performance, budgeting, reporting, investment oversight, and resource stewardship.
• Support governance with reporting, strategic recommendations, and execution of priorities.
• Ensure compliance with regulatory, payer, accreditation, NCQA, HIPAA, and credentialing requirements.
• Lead staff, improve operational processes, and advance member satisfaction and performance.

Conoscenze

Executive leadership

Payer contracting

Provider network strategy

Budgeting & forecasting

Formazione

Bachelor's degree in Healthcare Administration or related field

Master's degree in Healthcare Administration (MHA) or MBA or MPH

Master of Public Health (MPH)

Descrizione del lavoro

Work Shift

Day

Scheduled Weekly Hours 40

Summary

The 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 Description

Key Responsibilities

• Lead 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 Requirements

• Minimum 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 stakeholders

Educational Requirements

• Bachelor'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 Candidate

The 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 Options

Paramount 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 Requirements

Light: Exert up to 20 lbs. of force occasionally and/or up to 10 lbs. of force frequently

Pay Rate Type

Salary

Mercy 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.