Head Of Managed Care Contracting

Kindbody New York City , NY 10008

Posted 2 months ago

We're a community of healthcare providers, fertility specialists, and women who get it. We are on a mission to reinvent women's healthcare services, starting with egg freezing and IVF. We believe it's time for women to learn the facts about their fertility and make their own plan through best-in-class technology, operations, clinical service, and a modern branded experience. We are NYC-based and rapidly expanding nationally through acquisitions and de novo development. Join our experienced team of rockstars from One Medical, Progyny, Flatiron Health, Oscar and Google.

We are looking for a Head of Managed Care Contracting who can oversee and execute a national strategy to secure managed care contracts in all markets in which Kindbody expands.

Responsibilities

  • Develop national managed care contracting strategy

  • Foster relationships with managed care organizations to develop new business opportunities and partnership

  • Analyze the financial and strategic value of current and proposed managed care contracts, proposals and programs

  • Lead all managed contract rates, payment terms and language negotiations

  • Incorporate new state and federal regulations and industry standards into contract language

  • Collect market intelligence, insurer profiles and benchmarks on costs to help Kindbody develop pricing strategies and an up-to-date charge master.

  • Solicit input and cooperation of physicians, administrators and key staff in developing profitable products for revenue enhancement and cost reduction initiatives to position Kindbody for contracting and new business development opportunities.

  • Develop future value based payment agreements, shared savings and risk based contracting strategies.

  • Be able to execute multiple projects simultaneously and achieve successful results.

  • Performing other job-related duties as required.

You'd be a good fit if:

  • You have a Bachelor's Degree (in Healthcare Administration, Finance, Accounting or related field a plus)

  • You have a minimum of 5 years of managed care experience required. Prior experience at a provider entity (provider network, health system) or a major managed care organization a plus.

  • You have experience analyzing data for a healthcare entity.

  • You have an understanding of payment methodologies.

  • You have knowledge of commercial payers and self-funded products.

  • You are proficient in Microsoft Office Suite; Advanced Excel skills required

Nice to have:

  • You have contracting experience with specialty services (e.g.,women's health/IVF) is desirable.

  • You have strong knowledge of claims and membership data is a plus.

Kindbody provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.


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