Managed Care - Contracting & Network Development, Dir. 8/23/2016
ALC Staffing Associates
JOB DESCRIPTIONAPPLY Director, Contracting & Network Development-Managed Care Experience
Ability to travel
Salary: $110K-$135K + 20% Bonus
Local Relocation Assistance Available
Managed care experience.
Contract negotiation provider relations relationship building ability.
Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.
*Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit's policies and standards, government laws and regulations.
*Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions.
*Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources.
*Perform complex financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives.
*Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets.
*Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning.
*Ability to travel.
*Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience.
*7+ years of combined contracting, network development or provider relations experience.
*Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements.
*Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff.
*Valid driver's license.