Job Details

Director Of Contracting

Company name

Dignity Health

Organization Type

In-House

Job Type

Legal Staff

Date Last Verified

May 20,2019

Valid Through

Sep 02,2019

Posted on

May 16,2019

Years of Experience

Min 5 yrs required

Location

Bakersfield, CA, United States

Employment Type

Full-time

Industry

Legal
Practice Area
Contract Law >> Contract Law
Health Care >> Health Care
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Profile

Director of Contracting
The candidate will build a system-wide integrated physician-centric, full-service management service organization structure. Assesses and develops networks to accommodate clients. Provider contracting including data gathering and analysis, contract preparation, outreach and follow-up with providers, negotiating and secure contracts with physicians, facilities and ancillary providers. Oversee the implementation of all contracts including health plan agreements. Meeting all of the firm Job Standards described below. Supervisor all contracting staff including performance, development, recruiting talent and all staff management. Oversee and develop department budget. Draft, negotiate and maintain physician, facility and ancillary pr ovider agreements for firm and its’ clients. Assist with health plan negotiations. Conduct initial review of provider proposals and make recommendations to Administration for response. Lead the implementation of contracts including review of fee sets, division of financial responsibilities, and provider information. Develop agenda and presentation for Contacting Meetings. Serve as content specialist resource for all departments (i.e., Claims, Utilization Management and Authorizations, Benefits, and Finance) providing contract interpretation, clarification, or modification. Serve as a content resource for all clients (i.e., Physician Office Staff, Ancillary Provider Contracting Representatives, and Health Plans) providing contract interpretation, clarification, or modification. Lead communication to Administration in preparing internal and external correspondence documenting new contracts, contract amendments, and contract terminations. Ensure contract databases and files are organized and information is readily available for review and research. Negotiate letters of agreement required for care coordination with non-network providers.

Qualification and Experience

The candidate should preferably have Master’s degree in Healthcare or Business Administration. 5 years’ experience in contracting, managing service agreements, or providing paralegal services is required. Experience in managed care field, with an IPA, health plan, or other healthcare related environment is critical. Advanced verbal, written, and presentation skills are essential. Proficiency in word processing, spreadsheet, and database applications is necessary. Knowledge of Microsoft Word, Excel, PowerPoint, and Outlook is needed. Supervisory experience is preferred.

Additional info

Job ID 2019-79174

Company info

Hiring Coordinator
Dignity Health
500 Old River Rd
Bakersfield, CA 93311

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