Director, Payor Contracting
$180k/y-$271k/y
Seattle Children'sa day ago
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HybridFull-timeDirector
Summary
Seattle Children's is seeking a Director, Payor Contracting to provide strategic leadership for the negotiation, implementation, and management of third-party payor contracts.
About the Role
As the Director of Payor Contracting, you will operationalize department strategic plans to increase patient access while maximizing reimbursement. You will collaborate with Payer Operations to manage payor issues affecting contract performance. This hybrid role requires at least 2 days/week on-site in Washington state.
About You
Required:
- Bachelor’s degree in a relevant field or ten (10) years related job experience in hospital, physician group, or health plan contracting.
- Minimum seven (7) years experience in hospital, physician group, or health plan contracting, handling complex contract negotiations with accountability for business results.
- Minimum five (5) years experience in a leadership or management role.
Preferred:
- MHA, MBA, JD, or equivalent advanced education.
- Prior experience with clinically integrated networks; experience with Accountable Care Organization (ACO), shared-risk, and value based contracting.
- Prior experience in contracting for quaternary pediatric healthcare services.
- Prior experience in a health plan contracting leadership role, with experience negotiating with large hospital systems.
- Prior experience managing and resolving complex payor/provider issues.
Benefits
- Generous benefit package including medical, dental, and vision plans.
- 403(b) retirement plan.
- Life insurance.
- Paid time off.
- Tuition reimbursement.
Seattle Children's
Hope. Care. Cure. These three simple words capture what we are here to do. That’s because at Seattle Children’s, compassionate care, breakthrough research and generous donors come together every day for the children, and the families, who need us. Over a century later, we continue to fight relentlessly to make sure there’s no such thing as “out of options” and to make sure kids who “didn't have a chance” can have the childhoods they deserve. At Seattle Children’s, we’re united by a compelling mission: We provide hope, care and cures to help every child live the healthiest and most fulfilling life possible. #HopeCareCure
Seattle, WA