Executive Director, Provider Contracting

🕒 6 days ago

🌽 Illinois, Tennessee, +1 more states – Remote

🌽 Illinois – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $161.5k - $299.7k / year

⏰ Full Time

🔴 Lead

👔 Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.

📋 Description

• Responsibility over all Health Spring Eastern Region MA contracting decisions and outcomes- including managing terminations, adequacy, affordability for 33 states and national partnerships. • Accountable for the development, negotiation and successful completion of reimbursement contracts. Ensure appropriate coverage of networks for locations. • Achieve competitive advantage in discounts and access through contract negotiations and effective relationship management. • Develop strategies, draft agreements and negotiate contracts for newly recognized categories of providers. • Oversee the analysis and reporting required to develop reimbursement strategies and take corrective action as needed. • Oversee the performance of hospital audits and appropriate reimbursement of hospital costs. • Accountable for resolution of issues and contractual disputes. • Ensure staff meets/exceeds goals, objectives and initiatives. Ensure staff is trained, positions are filled, and employees receive communications on changes, etc. • Accountable for budget, operational reporting and financial reporting. • Communicate and interact effectively and professionally with co-workers, management, customers, etc.

🎯 Requirements

• Bachelor degree and 6 years experience in health care/insurance administration, hospital/health care contracting, and hospital/physician relations OR 8 years experience in health care/insurance administration, hospital/health care contracting, and hospital/physician relations. • 5 years management experience. • Knowledge of hospital and provider reimbursement strategies and policies. • Clear and concise verbal and written communications skills including interpersonal skills to represent company to external entities, negotiate contracts, resolve issues, and prepare executive and employee presentations. • Leadership skills, team player, relationship building skills. • Experience working in a fast paced environment and meeting deadlines. • Accuracy and sound judgment with regard to financial matters such as contract performance and impact • Negotiation skills. • Ability and willingness to travel.

🏖️ Benefits

• health and wellness benefits • 401(k) savings plan • pension plan • paid time off • paid parental leave • disability insurance • supplemental life insurance • employee assistance program • paid holidays • tuition reimbursement • other incentives