Director of Network Contracting (Healthcare)

People. Passion. Purpose. 

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.

We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.  

We are looking for a Director of Network Contracting.  If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization then you should consider joining our team.

Director of Network Contracting

Overall Purpose: 

The Director of Network Contracting will lead the market's contracting activity and produce outcomes consistent with corporate guidelines and requirements. The incumbent will be responsible for overseeing the network expansions and identifying future opportunities. They will offer technical contracting leadership, management and expertise. The Director of Network Contracting will also manage budgeting and forecasting initiatives for networks costs and provider contracts.

Education and Experience: 

• Bachelor’s Degree; MBA or MPH strongly desired
• Must have a minimum of 10 years of specific work experience in managed care contracting to include network expansion projects, hospitals, specialty physician, and ancillary contracting.
• Must be well versed in CMS reimbursement and capitated, per visit, per diem, DRG, APC, VBC and fee for service methodologies.
• Must have exceptional national payer contracting negotiation experience.

Knowledge, Skills and Abilities: 

• Must have a high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact and diplomacy.
• Ability to interact and communicate with individuals at all levels of the organization and external parties.
• Demonstrated knowledge of variety of computer software applications in word processing, spreadsheets, database and presentation software (Word, Excel, Access, PowerPoint.)
• Proven ability to foster collaboration, value others perspective and gain support and buy-in for organization proposal.
• Ability to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands.
• Excellent planning and coordinating skills.
• Ability to travel. Travel will be required to engage with potential clients, develop relationships with physicians, clinical teams, etc. and overall build the organization.
• Ability to multitask competing priorities and those of the team assigned.

Essential Functions:   

• Oversees assigned staff. Responsibilities include recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and disciplining employees.
• Responsible for overseeing new network expansions and future opportunities.
• Negotiates, implements, and manages capitated and fee-for-service agreements with individually contracted Primary Care Physicians (PCP), medical groups, hospitals, ancillary providers and specialists.
• Analyzes current and projected network needs from cost/utilization and competitor standpoints.
• Analyzes, negotiates, and drafts contract rate and language proposals consistent with corporate guidelines for language, financial and operational performance.
• Oversees administration of the contracts to ensure anticipated results, identify negative performance trends, and implement cost containment and other improvement strategies.
• Collaborates with regional executive team and other departments to ensure contracted network support of operating goals, including STARS, HEDIS, and other initiatives.
• Oversees any required contract amendments and resolves contract issues.
• Responsible for several lines of reporting; dashboards, strategy decks, timelines etc...
• Contributes expertise to development of organizational best practices.
• Coordinates managed care contracting for acquisitions and networks.
• Leads cost saving contracting initiatives within assigned market and initiatives that may lead to cost savings in other P3 markets
• Exhibits P3 Corporate Goals, Mission and Vision