Exec Director, Contracting - Contract & Network Development - FT Days - 10684-1A

Job description

Updated: Sep 8, 2020
Location: Orange
Job Type:
Department: Contract & Network Development

Job Description:

UC Title:

MGD CARE MGR 4

Reports to:

Chief Financial Officer and Vice Dean of Faculty and Clinical Affairs

Cost Center:

Contract & Network Development (428514)

FLSA:

Exempt

Job Code:

005755

Shift:

Not Applicable

Position Number:

40321829

Working Title:

Exec Director, Contracting

Bargaining Unit:

No Bargaining Unit

Date Created:

9/08/2020

Hours:

40

FTE:

1

Position Summary:

The Executive Director of Contracting will work closely with the UCI Health Enterprise, including the Executive team and the School of Medicine, to establish the strategic direction for contracting in the System. The Executive Director will be responsible to create and lead participation in innovative health care programs, including value based care, bundled payments and employer-direct programs; optimize financial and regulatory System performance, and lead the effective drafting, review, negotiation, execution, implementation, and evaluation of health plan contracts, as well as other clinical service contracts. The Executive Director will be accountable for implementing growth strategies and therefore must be well versed in managed care, value-based contracting, narrow networks, and innovative payment models. The Executive Director will report to the Chief Financial Officer and the Vice Dean of Faculty and Clinical Affairs

Salary Range:


Required Qualifications:

  • Ability to maintain a work pace appropriate to the workload
  • Must demonstrate customer service skills appropriate to the job
  • Excellent written and verbal communication skills in English
  • Ability to develop and manage business plans to achieve objectives
  • Experience in leading large, complex projects to achieve key business objectives
  • Meticulous and detail oriented coupled with proven analytical skills
  • Demonstrated ability to lead change and accomplish results, effectively integrating functions with business plans
  • Knowledge of healthcare provider office practices, medical terminology and insurance billing/coding
  • Demonstrated competency and the working knowledge and understanding of contract lifecycle management and the contracting environment, including the broader marketplace
  • Bachelor's Degree in Business, Finance, Healthcare or related discipline, or equivalent combination of education and/or comparable work experience
  • Previous experience in a supervisory or management role
  • Minimum 5 years’ provider contracting experience in a managed care environment, including negotiation, preparation, review, administration, maintenance, and monitoring of contracts
  • Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
  • Evidence of sound critical thinking skills and the ability to think creatively and strategically to problem solve
  • Demonstrated ability to interact effectively, build trust and establish effective working relationships across the Health System and with a wide variety of audiences

Preferred Qualifications:

  • Experience in an academic medical center environment
  • Master’s degree in business management or healthcare administration
  • Knowledge of University and medical center organizations, policies, procedures and forms

 

 

 

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Job No:
Posted: 9/10/2020
Application Due: 12/9/2020
Work Type:
Salary: