Hospital Contracting Executive

Humana Inc. Phoenix , AZ 85002

Posted 2 weeks ago

Description

The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Hospital Contracting Executive communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and terms. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Required Qualifications

  • Bachelor's degree

  • 8 or more years of progressive network management experience including hospital contracting and network administration in a healthcare company

  • Must have Acute Care Hospital System experience

  • 2 or more years of project leadership experience

  • Extensive provider contracting skills, including contract preparation and implementation, financial analysis and rate proposal development

  • Excellent written and verbal communication skills and experience presenting to varied audiences

  • Ability to manage multiple priorities in a fast-paced environment

  • Knowledge of Microsoft Office applications

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Master's Degree

  • Experience with ACO/Risk Contracting

  • Experience with Value Based Contracting

Scheduled Weekly Hours

40

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Chief Executive Officer (Ceo) Valley Hospital

Universal Health Services

Posted 7 days ago

VIEW JOBS 1/12/2021 12:00:00 AM 2021-04-12T00:00 Responsibilities JOB DESCRIPTION One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in 2019. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information on the Company, visit our web site: http://www.uhsinc.com. Chief Executive Officer (CEO) Valley Hospital Valley Hospital is a 122 bed inpatient Acute Psychiatric Hospital centrally located just five miles from downtown Phoenix, AZ. Valley Hospital's welcoming atmosphere and scenic landscape promote healing. Valley is the only facility in the state with a dedicated military program and a 37-bed women's unit, addressing the unique needs of these populations. Valley Hospital offers a wide range of options, including inpatient, outpatient and specialty programs for military personnel, women's program, and LGBTQ+ program. Valley Hospital is committed to providing patients with treatment to help them find recovery that endures. All patients receive the same quality treatment from a thoughtful and compassionate team of behavioral health professionals no matter the level of care. Valley Hospital is built on three core principles: outstanding care, compassionate people and unparalleled service. For us, that begins with the understanding that everyone who comes to us seeking help and healing is our welcomed guest. From the minute you walk through our doors, you and your loved ones will be treated with compassion, understanding and professionalism. To learn more about the hospital please visit: https://valleyhospital-phoenix.com/ Valley Hospital is currently seeking a dynamic Chief Executive Officer (CEO). This Behavioral Health Executive will have a proven record of accomplishment providing services in a for-profit Behavioral Health Hospital/Residential Treatment Program or has managed a large Psychiatric/Behavioral Health department within a large Acute care Hospital. Candidates must show a strong employment history with progressive growth throughout their career. The ideal Chief Executive Officer (CEO) candidate will be responsible for directing the day-to-day operations, managing and developing staff, assuring high quality care, sound fiscal operations, maintaining a strong referral base and compliance with Joint Commission and CMS regulations while continually monitoring the facility's services and delivery systems. Job Duties/Responsibilities: * Accountable for creating an environment and culture that focuses on fulfilling the organizations mission, vision and values. * Operational management of clinical and non-clinical departments including but not limited to: Nursing, Admissions, Business Development, Process Improvement, Finance, Clinical Services, Regulatory Affairs that effectively drive patient care outcomes * Ensure hospital quality metrics are achieved through sound clinical processes following accreditation and regulatory agency guidelines. * Recruit physicians and staff in targeted specialty areas, coordinate medical staff participation in new hospital ventures and targets, develop new areas of medical care to offer at the hospital. * Supervise the development of more comprehensive outpatient care and ambulatory programs. Develop positive relationships with local industry, local government, potential key health care providers, and the public. * Ensure the timely submission of month-end financial and operational reviews, contribute to the development of and participation in corporate-wide strategic planning efforts. * Communicate circumstances and events of operations to supervisor and other appropriate people to keep all apprised. * Achieve budgeted financial objectives. * Effectively manage contract negotiations and compliance with the commercial payor community. * Increase revenues and income before inter-company allocations, maintain or decrease the effective bad debt rate, achieve the margin percentage, and implement operating cost controls in the areas of staffing, supplies, purchased services, etc. * Focus on census building efforts and strategic planning. Qualifications Job Requirements * Bachelor's Degree required, Master's Degree is preferred * Currently working as a behavioral executive, i.e. CEO at a Behavioral Health facility or as a Director of a large acute care facility with a large multi-unit psych department. * A working knowledge of behavioral health management practices and clinical operations. * An advanced knowledge of state and federal regulatory and various accreditation requirements related to behavioral health management. * Working knowledge of operations and financial management and marketing methods. * Ability to travel a minimum of 10% of the time. This opportunity offers the following: * Challenging and rewarding work environment * Growth and development opportunities within UHS and its subsidiaries * Competitive Compensation * Excellent Medical, Dental, Vision and Prescription Drug Plan * 401k plan with company match * Generous Paid Time Off * Relocation benefits * Bonus opportunity * Car Allowance UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means. * UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449. Universal Health Services Phoenix AZ

Hospital Contracting Executive

Humana Inc.