What are the responsibilities and job description for the Director Of Contracts- Healthcare position at TEKsystems?
*Description*
Oversee day-to-day operations of contracting for IPA
Develop and achieve financial and operational goals.
Manage Desert Oasis Healthcare specialty and ancillary contracting, including Contract Specialists.
Interface with physicians, patients, and health plans.
Resolve provider performance and compliance concerns.
Maintain contract and correspondence files.
Distribute internal central contracts matrix.
Ensure compliance with governmental regulations (e.g., AB1455).
Revise and maintain contract templates.
Negotiate provider agreements and present for management approval.
Prepare, negotiate, and approve routine LOAs and one-time agreements.
Review and approve Specialist network split matrices and capitation payments.
Handle PPO negotiations and follow up on contract issues.
Manage Business Associate Agreements.
Respond to health plan and staff contract questions.
Prepare and oversee contract audits.
Identify contracting and financial process improvement opportunities.
Assist with compliance audits.
Manage ACO provider contracting and reporting requirements.
Validate Specialty capitation rates and deductions.
Assist with various contract responsibilities (e.g., NextGen, NurseCom, Televox).
Perform other duties as assigne
*Skills*
negotiation, regulatory compliance, leadership communication, contract negotiation, contract management, contract review, Communication and analytical skills
*Top Skills Details*
negotiation,regulatory compliance,leadership communication,contract negotiation,contract management,contract review
*Additional Skills & Qualifications*
Contracting Experience(5 Years Minimum) Hospital/MSO/Medical Group
Customer Service
Communication skills, contract negotiations
Current Drivers License and proof of insurance
*Experience Level*
Expert Level
*Pay and Benefits*
The pay range for this position is $87630.00 - $108160.00/yr.
Medical Insurance
Pharmacy Benefit
Dental Insurance
Vision Insurance
Employee Assistance Program (EAP)
Long-Term Disability Insurance
Paid Time Off (PTO)
401k
*Workplace Type*
This is a fully onsite position in Palm Springs,CA.
*Application Deadline*
This position is anticipated to close on Mar 28, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Oversee day-to-day operations of contracting for IPA
Develop and achieve financial and operational goals.
Manage Desert Oasis Healthcare specialty and ancillary contracting, including Contract Specialists.
Interface with physicians, patients, and health plans.
Resolve provider performance and compliance concerns.
Maintain contract and correspondence files.
Distribute internal central contracts matrix.
Ensure compliance with governmental regulations (e.g., AB1455).
Revise and maintain contract templates.
Negotiate provider agreements and present for management approval.
Prepare, negotiate, and approve routine LOAs and one-time agreements.
Review and approve Specialist network split matrices and capitation payments.
Handle PPO negotiations and follow up on contract issues.
Manage Business Associate Agreements.
Respond to health plan and staff contract questions.
Prepare and oversee contract audits.
Identify contracting and financial process improvement opportunities.
Assist with compliance audits.
Manage ACO provider contracting and reporting requirements.
Validate Specialty capitation rates and deductions.
Assist with various contract responsibilities (e.g., NextGen, NurseCom, Televox).
Perform other duties as assigne
*Skills*
negotiation, regulatory compliance, leadership communication, contract negotiation, contract management, contract review, Communication and analytical skills
*Top Skills Details*
negotiation,regulatory compliance,leadership communication,contract negotiation,contract management,contract review
*Additional Skills & Qualifications*
Contracting Experience(5 Years Minimum) Hospital/MSO/Medical Group
Customer Service
Communication skills, contract negotiations
Current Drivers License and proof of insurance
*Experience Level*
Expert Level
*Pay and Benefits*
The pay range for this position is $87630.00 - $108160.00/yr.
Medical Insurance
Pharmacy Benefit
Dental Insurance
Vision Insurance
Employee Assistance Program (EAP)
Long-Term Disability Insurance
Paid Time Off (PTO)
401k
*Workplace Type*
This is a fully onsite position in Palm Springs,CA.
*Application Deadline*
This position is anticipated to close on Mar 28, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Salary : $87,630 - $108,160
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