Sr Director, Provider Contracting Columbus, OHIOGreat manager highly motivated team relocation offered.Growing health plan needs a strong communicator with a deep knowledge of value- based contracting and proven ability to build relationships with providers and senior leadership.
Drive the development and implementation of network contracting and network development.
Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between health plan and vendors Work with business development and providers to develop a strategy for developing new networks including plans to meet network access and unit cost objectives Determine necessary resources to develop the network and assemble the appropriate team across all business functions.
Complete development of budget in alignment with corporate network management and financial objectives Support the new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources Lead the network development specialists during the implementation and development stages Monitor performance, develop, and implement business solutions to address process and quality gaps.
Communicate with senior management and other leaders regarding network strategy and planning Complete negotiations with complex and major provider contracts as needed to support network objectives
- Bachelors degree in Healthcare Administration, Business Administration, related field or equivalent experience.
7+ years of related contracting or healthcare operations experience.
Experience establishing new markets including the development of the strategy and oversight of the implementation.
Strong communication skills dealing with multiple levels within the organization and with the provider community.
Gables Search Group