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Sr. Director of Network Services

Salary undisclosed

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Responsibilities

  • Develop and implement complex contracting strategies in partnership with multiple Market Leaders that align with the company's overall network development and cost management objectives.
  • Lead and mentor the provider contracting team, setting clear goals and expectations.
  • Collaborate with the Network Monitoring & Performance team to identify network gaps and develop strategies to expand provider relationships and access to care.
  • If necessary, be able to source and identify OON provider targets that align with HSAs overall Market strategy
  • Lead complex contract negotiations with hospitals, physicians, ancillary service providers, and other healthcare entities.
  • Develop and execute standard and complex contracting agreements that drive financial performance, ensure access to quality care, and support cost control efforts.
  • Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
  • Ensure all provider agreements comply with relevant federal, state, and local regulations.
  • Act as a primary point of contact between the organization and healthcare providers for contracting-related activities.
  • Build and maintain strong working relationships with providers to foster collaboration and network stability.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Qualifications

  • 12+ years of experience in healthcare provider contracting, network development, or related areas.
  • 7+ years experience negotiating complex contracts with hospitals, physician groups, and other healthcare providers.
  • 5+ years of leadership or managerial experience in a healthcare setting.
Responsibilities

  • Develop and implement complex contracting strategies in partnership with multiple Market Leaders that align with the company's overall network development and cost management objectives.
  • Lead and mentor the provider contracting team, setting clear goals and expectations.
  • Collaborate with the Network Monitoring & Performance team to identify network gaps and develop strategies to expand provider relationships and access to care.
  • If necessary, be able to source and identify OON provider targets that align with HSAs overall Market strategy
  • Lead complex contract negotiations with hospitals, physicians, ancillary service providers, and other healthcare entities.
  • Develop and execute standard and complex contracting agreements that drive financial performance, ensure access to quality care, and support cost control efforts.
  • Ensure timely resolution of provider issues related to contract terms, reimbursement, and network participation.
  • Ensure all provider agreements comply with relevant federal, state, and local regulations.
  • Act as a primary point of contact between the organization and healthcare providers for contracting-related activities.
  • Build and maintain strong working relationships with providers to foster collaboration and network stability.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Qualifications

  • 12+ years of experience in healthcare provider contracting, network development, or related areas.
  • 7+ years experience negotiating complex contracts with hospitals, physician groups, and other healthcare providers.
  • 5+ years of leadership or managerial experience in a healthcare setting.