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