Provider Contracting Executive or Senior, DOE
$84,200–$113,900 year
HybridTacoma, Washington, United States or Washington, United States
Job Summary
Negotiate contracts and maintain relationships with top-tier physicians, groups, and ancillary providers to drive business growth and ensure cost effectiveness. Monitor financial and utilization performance, develop improvement plans, and lead regional network development for new product introductions. Create long- and short-range contracting strategies focused on reducing healthcare expenditures while delivering high-quality care, and manage risk arrangements and accountable health system funding. Mentor team members and provide guidance on contract administration and strategy.
Required Qualifications
- Bachelor's Degree in healthcare, business or a related field
- 5 years' experience in a healthcare industry provider contracting, relations, or analytical capacity
- 7 years' experience in a healthcare industry provider contracting, relations or analytical capacity
- Strong understanding of managed care and accountable health system models
- Proven ability to build positive relationships and negotiate successfully with institutional, professional, and ancillary providers
- Demonstrated competency in varying payment methodologies, including Pay for Quality/Performance, DRG, APC, ASC, Capitation, Fee for Service, RBRVS, Per Diem, and Per Case
- Strong understanding of value-based programs and contracting models
- Proficiency and comfort in negotiating complex contract language
- Ability to analyze financial, quality, and utilization data to develop contracting strategies and manage a portfolio of contracts
- Ability to work effectively in high-pressure circumstances, managing conflict and ambiguity
- Proficiency in building relationships and negotiating successfully with large, complex, and market-leading institutional and professional providers
- Ability to independently and effectively communicate with high-level executives internally and externally
- Ability to oversee and manage a portfolio of contracts and provide leadership and guidance to others in the organization
- Candidates must reside within commutable distance of that location or be willing to relocate
- Wired internet connection that is not satellite or cellular
- Internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb
- Access to a personal mobile device to set up Multi-Factor Authentication (MFA)
- A background check
Desired Qualifications
- Experience with AI tools and technologies to enhance productivity and decision-making in professional settings
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