Director of Healthcare Contracting & Network Strategy

Expert Healthcare Staffing (EHS) is seeking an experienced Director of Healthcare Contracting & Network Strategy for a leading Colorado-based healthcare organization. This executive-level leader will oversee provider contracting strategy and operations, strengthen provider relationships, and support the development of a high-performing healthcare network., * Lead the organization’s provider contracting strategy, operations, and departmental initiatives.

• Develop and execute strategies to build and maintain a high-performing provider network.
• Negotiate complex agreements with hospitals, health systems, primary care, behavioral health, and other provider organizations.
• Develop, implement, and improve contracting processes, policies, procedures, and approval workflows.
• Partner with executive leadership, legal, medical management, finance, IT, network management, and other stakeholders.
• Oversee provider contract templates, amendments, renewals, and customized contract terms.
• Evaluate provider reimbursement models, payment methodologies, and the financial impact of contract changes.
• Support network adequacy and organizational network development objectives.
• Lead provider meetings and cross-functional initiatives involving operations, claims, medical management, and other departments.
• Identify opportunities for process improvement, technology enhancement, and operational efficiency.
• Lead, coach, develop, and manage the provider contracting team.
• Establish departmental goals, performance metrics, budgets, and accountability standards.
• Ensure contracting activities comply with applicable federal and state requirements and organizational standards.

The ideal candidate brings extensive experience in health plan or health system contracting, strong negotiation skills, and a proven ability to lead teams, manage complex contracts, and develop strategic provider partnerships., * Bachelor’s degree in business, healthcare administration, or a related field required; master’s degree preferred.

• 7+ years of progressive experience in health plan or health system provider contracting.
• 5+ years of management or leadership experience.
• Extensive knowledge of provider contracting, reimbursement methodologies, claims payment, healthcare delivery systems, and medical terminology.
• Demonstrated experience negotiating complex provider agreements.
• Strong understanding of value-based reimbursement and healthcare payment models.
• Proven strategic planning, project management, change management, and team leadership skills.
• Excellent communication, negotiation, relationship-building, and presentation skills.
• Strong business acumen and ability to analyze financial and operational impacts of contracting decisions.
• Proficiency with Microsoft Office, including Word, Excel, and PowerPoint.
• Ability to manage multiple priorities and work effectively in a fast-paced healthcare environment.

If you are an experienced healthcare contracting leader with a strong background in provider negotiations, network strategy, reimbursement, and team leadership, EHS would like to hear from you.

Pay: $150,000.00 - $170,000.00 per year

Benefits:

• 401(k)
• 403(b)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance