Sr Director Provider Contracting

Nearterm Corporation; Colorado; On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Staff Engagement

Growth Potential

Job summary

Nearterm Corporation seeks a Senior Director of Provider Contracting to lead the development and implementation of contracts for facility and professional services. You will negotiate payment terms across varied reimbursement models and ensure compliance with regulations.

The role reports to the CFO within a large multi-entity health system, focusing on strategic contracting, trending industry insights, and program development.

Qualifications

• Proficiency in interpreting financial models and analysis.

Responsibilities

• Role reports to CFO; Senior Director of Provider Contracting develops and implements contracts for facility and professional agreements.
• Leads negotiations with providers on payment terms based on multiple models (fee-for-service, value-based, gain/risk sharing).
• Negotiates contract language aligned with state/federal laws and organizational policies.
• Maintains knowledge of healthcare industry trends affecting provider contracting and network administration.

Skills

Contract negotiations

Financial modeling

Healthcare contracting

Provider negotiations

Job description

Exceptional Opportunity For Sr. Provider Of Contracting

Organization is Large Multi Entity Health System

Health System Offers:

Staff Engagement

Growth Potential

• Role reports to CFO, the Senior Director of Provider Contracting is responsible for develop and implementing new and established contracts for facility and professional agreements with providers on behalf of Health System Medical Plan including new programs and services. This role will lead negotiations with providers to include payment terms based on multiple reimbursement models, including feefor-service payment terms, valued based payments, and gain/risk sharing arrangements.
• The Senior Director will be accountable for negotiating contract language that aligns with all State and Federal laws/regulations and organizational policies. This position will be responsible for development of practices consistent with the mission and vision of Health System Medical Plan
• Maintain knowledge and understanding of the healthcare industry trends, standards and current events realative to provider contracting and network administration and market.

Requirements:

Proficiency in interperting financial models and analysis