LHH Recruitment Solutions is seeking a dynamic individual to join our client's team as a Director of Healthcare Contracting in TX. This position is remote!

Overview: The Director of Healthcare Contract Negotiations is a pivotal role responsible for overseeing the negotiation and management of payer and provider contracts within the healthcare industry. This position requires a seasoned professional with a robust background in negotiating complex contracts, collaborating with diverse stakeholders, and ensuring favorable outcomes for the organization. The ideal candidate will possess extensive experience in both payer and provider negotiations, with a focus on engaging with large and potentially intricate provider networks, physician groups, and commercial payers. Requires experience with TX hospital contracting.

Key Responsibilities:

1. Contract Negotiation Strategy: Develop and implement comprehensive negotiation strategies for payer and provider contracts, aligning with organizational objectives and regulatory requirements.

2. Stakeholder Collaboration: Collaborate effectively with internal stakeholders, including executive leadership, legal counsel, finance, and operations teams, to ensure alignment and support throughout the negotiation process.

3. Payer Relations: Cultivate and maintain strong relationships with commercial payers, understanding their needs, market trends, and reimbursement methodologies to drive favorable contract terms.

4. Provider Network Management: Lead negotiations with large provider networks and physician groups, focusing on optimizing reimbursement rates, service offerings, and network participation criteria.

5. Contract Analysis and Compliance: Conduct thorough analysis of proposed contract terms, identifying risks, opportunities, and areas for negotiation to achieve optimal outcomes while ensuring compliance with regulatory standards and contractual obligations.

6. Performance Monitoring: Develop and implement mechanisms to monitor contract performance, including key performance indicators (KPIs), financial metrics, and service quality benchmarks, to assess the effectiveness of negotiated agreements.

7. Issue Resolution: Proactively identify and address contract-related issues, disputes, and escalations, working collaboratively with stakeholders to achieve timely and satisfactory resolutions.

8. Market Intelligence: Stay abreast of industry trends, legislative changes, and competitor activities affecting payer-provider relationships, leveraging insights to inform negotiation strategies and drive competitive advantage.

9. Continuous Improvement: Drive continuous improvement initiatives within the contract negotiation process, leveraging feedback, data analytics, and best practices to enhance efficiency, effectiveness, and stakeholder satisfaction.

Qualifications:

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field. Master's degree preferred.

• Minimum of 7-10 years of progressive experience in healthcare contract negotiations, with a focus on payer and provider contracts.

• Demonstrated track record of successfully negotiating complex contracts with large provider networks, physician groups, and commercial payers.

• In-depth understanding of healthcare reimbursement models, regulatory requirements, and industry dynamics.

• Strong analytical skills, with the ability to interpret financial data, assess contract performance, and identify opportunities for improvement.

• Excellent communication, negotiation, and relationship-building skills, with the ability to influence stakeholders at all levels of the organization.

• Proven ability to work collaboratively in a fast-paced, matrixed environment, balancing multiple priorities and deadlines effectively.

• Proficiency in contract management software, data analytics tools, and Microsoft Office suite.

This job description outlines the key responsibilities and qualifications for the Director of Healthcare Contract Negotiations role, emphasizing the importance of strategic negotiation, stakeholder collaboration, contract analysis, and continuous improvement in achieving organizational objectives within the dynamic healthcare landscape.

This posting is a representative sample of the types of roles we typically place with our clients. Depending on the specific client, location, and role, the salary range is estimated to be $120,000 to $150,000 and benefits may include: full benefit package offered for full-time employees including medical, dental, and vision, life and accident insurance, short and long-term disability plans, retirement plan with company match, paid vacation, sick leave, paid holidays, tuition reimbursement, professional development/career advancement opportunities.

Equal Opportunity Employer/Veterans/Disabled

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The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.