Unified Physician Management

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Regional Director of Contracting

at Unified Physician Management

Posted: 10/9/2019
Job Status: Full Time
Job Reference #: 856

Job Description

The Regional Director of Contracting coordinates, tracks and supports the VP of Contracting, Market President, executive leadership, and board representatives in the negotiation of payer contracts.  Responsibilities include:

  • Build relationships with payer network managers and representatives for the market
  • Evaluate managed care proposal contracting terms and rates including development and implementation of pay for performance, bundled payments, episode of care payments and other various forms of risk contracting
  • Responsible for planning, evaluating, and implementing various managed care programs
  • Negotiate and administer contracts with managed care payers
  • Answer questions from providers and provider office staffs on contracting issues as needed
  • Reviews provider performance reports from health plans and develops action plan to remedy outliers

Represents contracting as internal subject matter expert on other projects as needed

Position Requirements:

  • Bachelor's degree required
  • Master’s degree preferred (but may substitute additional experience)
  • 7+ years relevant work experience in healthcare contracting, network management, healthcare pricing, healthcare economics or related field
  • Contract negotiation experience for health plan, hospital or physician group
  • Experience interpreting healthcare contracts and modeling financial impact of contract changes (with analyst support)
  • Strategic thinker, goal oriented, ability to work independently
  • Excellent communication and presentation skills
  • Proficiency with Microsoft Excel, Word and PowerPoint
  • Up to 30% travel required