What are the responsibilities and job description for the Executive Director of Contracts and Payer Relations, Contracting, Full-Time, Days position at MarinHealth Medical Network?
ABOUT MARINHEALTH
Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch.
MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.
Company:
Marin General Hospital dba MarinHealth Medical Center
Compensation Range:
$92.91 - $139.36
Work Shift:
8 Hour (days) (United States of America)
Scheduled Weekly Hours:
40
Job Description Summary:
The Executive Director of Contracts and Payer Relations will report to the Chief Financial Officer and will provide leadership, strategic direction and overall management of all contracting and payer relation activities to ensure that the Hospital’s contracting objectives are met. The Executive Director will be responsible for leading and implementing both strategic and tactical contracting activities for MarinHealth Medical Center (MHMC), MarinHealth Medical Network (MHMN) (for grandfathered contracts), and related JV’s. Contract types include payer contracts, and general service and consulting contracts. The role involves interaction with payers, vendors, physicians, and physician office staff as well as various groups within the Hospital and outside of the hospital.
Job Requirements, Prerequisites and Essential Functions:
EDUCATION
Bachelor’s Degree in Accounting or Business Administration.
Master’s Degree Preferred.
EXPERIENCE
A minimum of 10 years' experience in contracting activities, preferable in a healthcare environment.
LICENSURE AND CERTIFICATIONS
NA
PREREQUISITE SKILLS
Demonstrated understanding of medical payment processes and practices.
Thorough knowledge of contracting economics and outcomes research.
Experience in negotiating contracts with payers and medical groups.
High level of interpersonal skills: influencing, resolving conflict, and creative problem solving. Must be an excellent communicator using all available channels.
Ability to make effective presentations to all levels of company management, Board of Directors, physician practice staff, and payers.
Evidence of leadership and a management style characterized by vision, teamwork, preparation, communication and negotiation; a history of successfully managing relationships at all levels of the organization.
A results-oriented individual, skilled in motivating and inspiring people.
Strong organizational skills, ability to prioritize and complete projects.
Strong administrative skills
Experience with health plan and provider contracting functions.
Effective analytical and problem-solving skills with the ability to manage multiple projects and apply creative solutions to challenges.
Basic understanding of contact law.
Ability to think strategically.
Familiarity with hospital/healthcare service and consulting contracts.
Strong customer focus.
Knowledge of payer-capitated arrangements and Accountable Care Organizations (ACO) structure and infrastructure.
Reasonable accommodation(s) to qualified individuals with disabilities are available as part of the application step. If an accommodation is needed, please contact Human Resources at 415-925-7040 or email TalentAcquisition@mymarinhealth.org to initiate the process.
MarinHealth is a diverse community of people with many different talents. We seek candidates whose work experience has prepared them to contribute to our professional, C.A.R.E.S standards (Communication, Accountability, Respect, Excellence, and Safety) . These behavioral standards help us create a healing environment for patients and colleagues alike. By committing to them and holding ourselves accountable, we can build trust and ensure clear communication.
At MarinHealth, our top priority is the well-being of our employees, patients, and community. As such, we require all employees to receive necessary immunizations, including the measles, mumps, varicella, and seasonal flu vaccinations as a condition of employment and annually thereafter. Additionally, the continued recommendation to obtain a COVID booster vaccination status. We understand that some individuals may require medical or religious exemptions from these requirements, and we remain committed to prioritizing the health and safety of all. Thank you for helping us in our efforts to maintain a healthy and safe environment.
The compensation for this role listed on this posting is in compliance with applicable law. The selected candidate’s compensation will be determined based on the individual’s skills, experience, internal/market equity factors, and qualifications. This posted minimum and maximum range represents the minimum and maximum of what we reasonably expect to compensate for the position. Furthermore, all compensation decisions are ultimately determined in accordance with our compensation philosophy. Compensation for positions covered by collective bargaining agreements are governed by the agreements in the aforementioned document.
Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch.
MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.
Company:
Marin General Hospital dba MarinHealth Medical Center
Compensation Range:
$92.91 - $139.36
Work Shift:
8 Hour (days) (United States of America)
Scheduled Weekly Hours:
40
Job Description Summary:
The Executive Director of Contracts and Payer Relations will report to the Chief Financial Officer and will provide leadership, strategic direction and overall management of all contracting and payer relation activities to ensure that the Hospital’s contracting objectives are met. The Executive Director will be responsible for leading and implementing both strategic and tactical contracting activities for MarinHealth Medical Center (MHMC), MarinHealth Medical Network (MHMN) (for grandfathered contracts), and related JV’s. Contract types include payer contracts, and general service and consulting contracts. The role involves interaction with payers, vendors, physicians, and physician office staff as well as various groups within the Hospital and outside of the hospital.
Job Requirements, Prerequisites and Essential Functions:
EDUCATION
Bachelor’s Degree in Accounting or Business Administration.
Master’s Degree Preferred.
EXPERIENCE
A minimum of 10 years' experience in contracting activities, preferable in a healthcare environment.
LICENSURE AND CERTIFICATIONS
NA
PREREQUISITE SKILLS
Demonstrated understanding of medical payment processes and practices.
Thorough knowledge of contracting economics and outcomes research.
Experience in negotiating contracts with payers and medical groups.
High level of interpersonal skills: influencing, resolving conflict, and creative problem solving. Must be an excellent communicator using all available channels.
Ability to make effective presentations to all levels of company management, Board of Directors, physician practice staff, and payers.
Evidence of leadership and a management style characterized by vision, teamwork, preparation, communication and negotiation; a history of successfully managing relationships at all levels of the organization.
A results-oriented individual, skilled in motivating and inspiring people.
Strong organizational skills, ability to prioritize and complete projects.
Strong administrative skills
Experience with health plan and provider contracting functions.
Effective analytical and problem-solving skills with the ability to manage multiple projects and apply creative solutions to challenges.
Basic understanding of contact law.
Ability to think strategically.
Familiarity with hospital/healthcare service and consulting contracts.
Strong customer focus.
Knowledge of payer-capitated arrangements and Accountable Care Organizations (ACO) structure and infrastructure.
Reasonable accommodation(s) to qualified individuals with disabilities are available as part of the application step. If an accommodation is needed, please contact Human Resources at 415-925-7040 or email TalentAcquisition@mymarinhealth.org to initiate the process.
MarinHealth is a diverse community of people with many different talents. We seek candidates whose work experience has prepared them to contribute to our professional, C.A.R.E.S standards (Communication, Accountability, Respect, Excellence, and Safety) . These behavioral standards help us create a healing environment for patients and colleagues alike. By committing to them and holding ourselves accountable, we can build trust and ensure clear communication.
At MarinHealth, our top priority is the well-being of our employees, patients, and community. As such, we require all employees to receive necessary immunizations, including the measles, mumps, varicella, and seasonal flu vaccinations as a condition of employment and annually thereafter. Additionally, the continued recommendation to obtain a COVID booster vaccination status. We understand that some individuals may require medical or religious exemptions from these requirements, and we remain committed to prioritizing the health and safety of all. Thank you for helping us in our efforts to maintain a healthy and safe environment.
The compensation for this role listed on this posting is in compliance with applicable law. The selected candidate’s compensation will be determined based on the individual’s skills, experience, internal/market equity factors, and qualifications. This posted minimum and maximum range represents the minimum and maximum of what we reasonably expect to compensate for the position. Furthermore, all compensation decisions are ultimately determined in accordance with our compensation philosophy. Compensation for positions covered by collective bargaining agreements are governed by the agreements in the aforementioned document.
Salary : $93 - $139
