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Head of Contracting

Midwest

Southeast


Job Description:

One of America’s largest integrated healthcare systems is seeking a Head of Contracting for their integrated healthcare delivery system. This executive will be responsible for the strategy and execution of the company's managed care relationships, leading a staff of professionals and supporting regional executives covering all aspects of fee-for-service and value-based contracting. Additionally, this person will oversee the systems credentialing processes.

 

Responsibilities:

  • Provide strategic leadership for development and management of payer contracts aligning with the company's mission, vision and values; hold overall responsibility for managed care strategies, negotiating contracts, budgeting and maintaining relationships with the managed care industry.
  • Create and update a quality-driven pricing strategy at a national level; develop solutions that play to the strengths of the evolving regional organizations.
  • Drive direct-to-employers contracting for total cost of care, bundle payments and near/on-site clinics.
  • Lead the development of forward-thinking, value-based payment models.

 

Requirements:

  • 10+ years of successful healthcare leadership experience
  • Comprehensive knowledge of reimbursement structures, including capitation models, value-based infrastructures such as bundle payment (BPCI), shared savings and shared risk programs
  • Strong operational background
  • Experience in a variety of markets
  • Bachelor’s degree; continuing education, such as MBA or industry certification (preferred)


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  • Job At-A-Glance

  • Category
    Network Development and Contracting

    Industry
    Healthcare Providers

    Type
    Direct Hire

    Location
    Midwest
    Southeast

    Reference ID
    20695



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