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
- 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
- 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.