Director

Direct Hire: Houston, Texas, US

Salary: $156000.00 Per Annum

Job Code: 334508

End Date: 2023-06-11

Job Status: Expired

This Job is no longer accepting applications

Title: Director Provider Contracting
Location: Houston, TX
Travel: 10%

JOB SUMMARY:

  • The Director provides strategic leadership in the development, direction, execution, and evaluation of an effective contracting program.
  • The Director is responsible for assuring the program supports the delivery of quality providers appropriately and effectively, and that meets all contractual and regulatory requirements.
  • This position develops and maintains a robust provider network that meets state-defined accessibility standards and incorporates continuous quality improvement and effective outreach programming.
  • In addition, the Director develops systems to ensure effective coordination between network providers and contracting and ensures the analysis of utilization and cost data is translated to program implementation.
  • Assures that network and contracting function are aligned with organizational strategic objectives and financial targets.

MINIMUM QUALIFICATIONS:

  • Education/Specialized Training/Licensure:
    BA/BS; 4 years equivalent work experience may substitute for degree requirement.

Work Experience (Years and Area):

  • 7 years in healthcare, with at least 5 years’ experience in Providers/Managed Care Contracting.
  • Health Plan experience preferred.
  • Must have medical contract negotiations experience, preferably in Houston market.

Management Experience (Years and Area):

  • 4 years’ direct supervision experience required

Software Operated:

  • Office (Word, Excel, Outlook)


Other Requirements:

  • Must have car and valid Texas Driver’s license.
  • Contracting experience with both hospital and physician practice (group practice and solo practitioner) required.
  • Skilled at developing and implementing strategic objectives for the contracting function.
  • Experience with implementing provider incentive programs and pay-for-quality programs.
  • Experience with claims payment and CRM systems required.
  • Demonstrated ability to manage and develop staff in medical contract negotiation. 
Job Requirement
  • Provider Contracting
  • Provider Negotiation
  • Contracting
  • Medicaid
  • Negotiation
  • Credentialing
  • Provider relations
Reach Out to a Recruiter
  • Recruiter
  • Email
  • Phone
  • Ankit Srivastava
  • ankit.srivastava@collabera.com
  • 2816014394
This Job is no longer accepting applications
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