Remote Network Contracting Executive Director

Health Care Service Corp.; United States; Remoto; USD 162.000 - 300.000; Tempo pieno

Descrizione del lavoro

Health Care Service Corporation is seeking a senior contract and network management leader to develop contracting strategies for commercial and government networks, negotiate reimbursement contracts, and oversee providers and staff. The role emphasizes network adequacy, budget oversight, and cross-functional collaboration.

The position requires extensive health care contracting experience, leadership, and the ability to travel as needed, with telecommute flexibility within the continental United

Competenze

• Bachelor degree in health care/insurance administration, hospital/health care contracting, and hospital/physician relations OR 19 years experience in health care/insurance administration, hospital/health care contracting, and hospital/physician relations.

Mansioni

• Develop and manage contracting strategies for commercial and government networks.
• Negotiate and finalize reimbursement contracts; ensure network adequacy for commercial and government networks.
• Draft reimbursement agreements and negotiate contracts for hospitals, large groups with special pricing, and hospital-based physicians.
• Achieve competitive discounts and access through contract negotiations and relationship management.
• Develop strategies, draft agreements, and negotiate contracts for newly recognized provider categories.
• Oversee analysis and reporting to develop reimbursement strategies and take corrective action as needed.
• Resolve contractual disputes.
• Ensure staff meet/exceed goals; ensure staff are trained and informed on changes.

Conoscenze

Negotiation

Leadership

Communication

Cross-functional collaboration

Budgeting

Time management

Formazione

Bachelor degree

MBA or Masters in Health Administration

Descrizione del lavoro

Health Care Service Corporation is seeking a senior contract and network management leader to develop contracting strategies for commercial and government networks, negotiate reimbursement contracts, and oversee providers and staff. The role emphasizes network adequacy, budget oversight, and cross-functional collaboration.

The position requires extensive health care contracting experience, leadership, and the ability to travel as needed, with telecommute flexibility within the continental United