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Director of Provider Contracting

Health Care Service Corporation
Posted 5 months ago, valid for 11 days
Location

Albuquerque, NM 87158, US

Salary

$121,200 - $225,200 per year

Contract type

Full Time

Health Insurance
Retirement Plan
Paid Time Off
Life Insurance
Disability Insurance
Tuition Reimbursement
Employee Assistance

By applying, a Health Care Service Corporation account will be created for you. Health Care Service Corporation's Privacy Policy and Terms & Conditions will apply.

SonicJobs' Terms & Conditions and Privacy Policy also apply.

Sonic Summary

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  • HCSC is seeking a candidate for a position focused on developing competitive contract pricing and managing a network of healthcare providers across the state.
  • The role requires a Bachelor’s degree and 10 years of healthcare or health insurance experience, including 4 years in contract administration and provider relations, or 14 years of relevant experience without a degree.
  • Candidates should have at least 4 years of management experience, expertise in reimbursement methodology, and strong negotiation and analytical skills.
  • The compensation for this position ranges from $121,200 to $225,200 annually, depending on skills, experience, and location.
  • HCSC offers a comprehensive benefits package, including health and wellness benefits, 401(k) plans, paid time off, and more.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for developing and implementing the methodology which results in competitive contract pricing while maintaining a broad network of hospitals, physicians, behavioral health and ancillary providers on a statewide basis. Directing and overseeing management and staff responsible for contracting, provider relations activities, network directories, provider/facility database and reporting. This position collaborates with HCSC Network Management colleagues in the development of Enterprise Network strategies and initiatives.

JOB REQUIREMENTS:


* Bachelor Degree and 10 years health care or health insurance experience to include 4 years contract administration and facility or provider relations experience OR 14 years of health care or health insurance experience to include 4 years contract administration and facility or provider relations experience.
* 4 years management experience including hiring, performance management, change management and professional development.

* Reimbursement Methodology expertise
* Leadership skills.
* Financial acumen, experience with oversight of budget, and experience with financial managed care contracting.
* Knowledge of facility/provider contracting methodologies and pricing strategies and the facility or provider community.
* Presentation skills.
* Negotiation, contracting skills and analytical and strategic thinking skills.
* Verbal and written communication skills.

* Overseeing the annual budget and allocating resources for various projects and operational needs.

* Translating needs and initiatives into compelling business cases.

* Conducting cost-benefit analyses to justify investments and ensure ROI.


PREFERRED JOB REQUIREMENTS:
* Masters Degree.
* Experience developing strategies and implementing initiatives.
* Experience developing budget.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$121,200.00 - $225,200.00

Exact compensation may vary based on skills, experience, and location.




Learn more about this Employer on their Career Site

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By applying, a Health Care Service Corporation account will be created for you. Health Care Service Corporation's Privacy Policy and Terms & Conditions will apply.

SonicJobs' Terms & Conditions and Privacy Policy also apply.