Director Provider Contracting

Highmark Health

Direct hospital and institutional provider contract negotiations
Develop strategies for managing healthcare costs
Coordinate financial analyses for contract negotiations
This role is responsible for directing the negotiation of key contracts with health care providers including hospitals and physicians

Job Summary

  • This role is responsible for directing the negotiation of key contracts with health care providers including hospitals and physicians.
  • The incumbent will develop and implement multiple fee schedules and payment methodologies to reimburse institutional and professional providers.
  • The position requires coordinating financial analyses and developing strategies to control health care costs while evaluating their impact on providers.

Matching Summary

This role is responsible for directing the negotiation of key contracts with health care providers including hospitals and physicians.

Skills & Requirements

Must-have

  • Direct hospital and institutional provider contract negotiations
  • Develop strategies for managing healthcare costs
  • Coordinate financial analyses for contract negotiations
  • Maintain critical communication with provider constituents

Nice-to-have

  • Act as spokesman in complex contract negotiations
  • Engage with external consultants for recommendations
  • Oversee CACTUS credentialing database functionality

Key Requirements

  • Bachelor's degree in business, finance, or healthcare administration
  • 5 years of experience in healthcare administration or finance
  • 3 years of experience in a management role

Work Rights

Not specified

Tailored Resume

Cover Letter