Director of Contracting

Job Number: 1118

Position Title: Director of Contracting

External Description:

The Director of Contracting coordinates, tracks, and supports the VP of Contracting, Market President, executive leadership, and board representatives in the negotiation of payer contracts.  Responsibilities include:

 

Essential Job Functions:

• Build relationships with payer network managers and representatives for the market
• Evaluate managed care proposal contracting terms and rates including development and implementation of pay for performance, bundled payments, episode of care payments and other various forms of risk contracting
• Responsible for planning, evaluating, and implementing various managed care programs
• Negotiate and administer contracts with managed care payers
• Answer questions from providers and provider office staffs on contracting issues as needed
• Reviews provider performance reports from health plans and develops action plan to remedy outliers
• Responsible for the North Carolina and Southern Virginia markets

 

Represents contracting as internal subject matter expert on other projects as needed.

 

Position Requirements:

• Bachelor's degree required
• Master’s degree preferred (but may substitute additional experience)
• 7+ years relevant work experience in healthcare contracting, network management, healthcare pricing, healthcare economics or related field
• Contract negotiation experience for health plan, hospital or physician group
• Experience interpreting healthcare contracts and modeling financial impact of contract changes (with analyst support)
• Strategic thinker, goal-oriented, ability to work independently
• Excellent communication and presentation skills
• Proficiency with Microsoft Excel, Word and PowerPoint
• Up to 30% travel required

 

City: Morrisville

State: North Carolina

Community / Marketing Title: Director of Contracting

Company Profile:

Unified Women’s Healthcare is a company dedicated to caring for Ob-Gyn providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care. We take great pride in not just speaking about this, but executing on it.

As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our Ob-Gyn medical affiliates – enabling them to focus solely on the practice of medicine while we focus on the business of medicine.

We are action oriented. We strategize, implement and execute – on behalf of the practices we serve.

EEO Employer Verbiage:

We offer a competitive salary and an excellent benefit package that includes health/dental/life/STD/LTD/vision insurance, paid time off, and 401(k) plan.    This company is a drug-free workplace and an Equal Employment Opportunity employer.