Senior Director, Contracting & Network Development

Location: Columbus, OH
Joining this team means you'll be surrounded by colleagues who are dedicated to meeting their own high standards, to inspiring their teammates and to making a positive impact on under-insured and uninsured individuals. The group is a fast, agile, customer-focused organization with a commitment to implementing the latest technologies.
 
Our client serves more than 55 million managed care members through their portfolio of high-quality commercial and government sponsored healthcare programs. The broad offering of programs that they provide has helped them to build both capacity and capability to successfully navigate a changing healthcare environment, while continuing to offer better health outcomes at lower costs.
 
Position Purpose:
Oversee the development and implementation of contracting activities in network development and enhancement.
 
Job Description:
  • Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between health plan and vendors
  • Work with business development and providers to develop a strategy for developing new networks including plans to meet network access and unit cost objectives
  • Determine necessary resources to develop the network and assemble the appropriate team across all business functions. Complete development of budget in alignment with the network management and financial objectives
  • Support the new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources
  • Lead the network development specialists during the implementation and development stages
  • Monitor performance, develop, and implement business solutions to address process and quality gaps. Communicate with senior management and other leaders regarding network strategy and planning
  • Complete negotiations with complex and major provider contracts as needed to support network objectives
 
Qualifications:
Education/Experience:
  • Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience.
  • 7+ years of related contracting or healthcare operations experience.
  • Experience establishing new markets including the development of the strategy and oversight of the implementation.
  • Strong communication skills dealing with multiple levels within the organization and with the provider community.
 
Licenses/Certifications:
  • N/A
 
Our client offers options that allow you to do more than just plan for retirement. Their programs allow shared success with employees.
  • 401(k) with company match
  • Employee stock purchase plan
  • Training and Learning Opportunities/Tuition Reimbursement/Educational Assistance
  • On-site fitness center or discount at local fitness centers (most locations)
  • Discounts for select local and national products and services, including cell phones, computers and more
  • Other amenities may be available, but vary by location
 
Equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
 
 
 
April A. Estes
Senior Recruiter
720-439-2609 Direct
april@proenlist.com 
www.proenlist.com 
www.medenlist.com 
https://www.indeedjobs.com/proenlist?hl=en_US
 
 
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