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Healthcare Contracting Director

Curative HR LLC | Austin | Full-time | $150,000/year | app.trinethire.com |
Duties And Responsibilities
 •  Manages complex contract negotiations with large and/or complex providers for commercial product lines (e.g., Ancillaries, large physician groups, some smaller hospitals).
 •  Proactively builds relationships that nurture provider partnerships to support the local market strategy.
 •  Manages key provider relationships and is accountable for critical interface with providers and business staff.
 •  Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
 •  Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain competitive position
 •  Identify and manages initiatives that improve total medical cost and quality.
 •  Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms.
 •  Partner with Regulatory Affairs to ensure all network filings are timely and accurate.
 •  Initiates, nurtures and maintains effective channels of communication with internal matrix partners including but not limited to Claims, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing.

Requirements
 •  Bachelor’s degree or equivalent experience in related field, plus 7+ years of work experience beyond degree within provider contracting and/or health insurance
 •  At least 7 years of relevant managed care contracting experience; specifically focused on Texas
hospital relationships and negotiations
 •  Experience in developing and managing key provider relationships including senior executives
 •  Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners
 •  Intimate understanding and experience with larger, more complex integrated delivery systems
 •  Team player with proven ability to develop strong working relationships within a fast-paced organization
 •  Nimble to pivot to different strategies, projects and priorities quickly
 •  Superior problem solving, decision-making, negotiating skills, contract language and financial acumen