Community Memorial Healthcare

Director, Contracting

Community Memorial Healthcare

full-time

Posted on:

Origin:  • 🇺🇸 United States • California

Visit company website
AI Apply
Apply

Job Level

Lead

About the role

  • Spearhead the development, negotiation, and management of payer contracts across all Cottage Health entities, ensuring alignment with organizational goals, operational efficiencies, and compliance standards
  • Cultivate and maintain robust, high-level relationships with community leaders, brokers, payers, and government agencies; serve as primary point of contact and strategic advisor on managed care contracting
  • Provide executive leadership with timely, comprehensive updates on trends and developments in the managed care landscape and leverage market insights to inform organizational strategy and policy development
  • Partner with senior leaders across administration, legal, revenue cycle, compliance, and population health management teams to integrate new managed care programs and initiatives that drive operational excellence
  • Drive operational and financial outcomes through strategic payer contracting and cross-functional collaboration

Requirements

  • Minimum: Bachelor’s Degree
  • Preferred: JD, MHA or MBA
  • Minimum: Significant knowledge of contractual, administrative, health insurance and operational issues related to managed care organizations
  • Experience in advanced payment models and other risk-based arrangements
  • Preferred: Experience with digital contract management system and AI-based contracting tools
  • Minimum: Minimum of 7 years of experience in the healthcare or managed care industry, with significant exposure to complex payer contracting and strategic negotiation at a leadership level
  • Proven ability to influence and drive change across diverse stakeholder groups
  • Strong negotiation, communication, and problem-solving skills
  • Ability to navigate complex, multi-faceted issues with a high degree of professionalism, integrity, and discretion
  • Demonstrated success in managing and improving payer relationships and health system outcomes
IP House

US Counsel, Contracts & Compliance

IP House
Junior · Midfull-time$100k–$120k / year🇺🇸 United States
Posted: 28 days agoSource: ats.rippling.com
Ontario Medical Association

Specialist, Insurance Compliance

Ontario Medical Association
Junior · Midfull-time🇨🇦 Canada
Posted: 7 days agoSource: ontariomedicalassociation.applytojob.com
LendingClub

Regulatory Counsel

LendingClub
Mid · Seniorfull-time$118k–$180k / year🇺🇸 United States
Posted: 26 days agoSource: lendingclub.wd1.myworkdayjobs.com
TD

Senior Manager, Organizational Effectiveness / Organizational Design & Governance

TD
Seniorfull-time$111k–$166k / year🇺🇸 United States
Posted: 20 days agoSource: td.wd3.myworkdayjobs.com
Fiddler AI

Staff Product Manager

Fiddler AI
Leadfull-time$180k–$200k / yearCalifornia · 🇺🇸 United States
Posted: 23 days agoSource: jobs.ashbyhq.com