Senior Director, Network Contracting
Core
Develop and manage complex provider network strategies, negotiate contracts, and foster relationships with healthcare providers to ensure access to quality care and cost containment.
Role type
Senior Director, Network Contracting
Builds
Provider networks and contracting agreements for a health insurance company
Domain
Health Insurance / Managed Care
Deliverable
client delivery
Required skills
complex contract negotiation, network development strategy, stakeholder management, regulatory compliance, team leadership, cost management
Preferred skills
understanding of healthcare delivery systems, reimbursement models, managed care principles
Technologies
N/A
Responsibilities
Develop and implement complex contracting strategies; Lead and mentor the provider contracting team; Collaborate with Network Monitoring & Performance teams; Source OON provider targets; Lead complex contract negotiations with hospitals and physicians; Ensure compliance with federal, state, and local regulations
Seniority
Senior, hands-on IC with leadership responsibilities