Executive Director, Provider Contracting

Health Care Service Corporation

Executive Director responsible for provider contracting decisions and negotiations for HealthSpring. Oversight of network strategies and reimbursement contracts in the Eastern Region.

Posted 5/29/2026full-timeRemote • Illinois, Tennessee, Texas • 🇺🇸 United StatesLead💰 $161,500 - $299,700 per yearWebsite

Tech Stack

Tools & technologies

Spring

About the role

Key responsibilities & impact

Responsibility over all Health Spring Eastern Region MA contracting decisions and outcomes- including managing terminations, adequacy, affordability for 33 states and national partnerships.
Accountable for the development, negotiation and successful completion of reimbursement contracts. Ensure appropriate coverage of networks for locations.
Achieve competitive advantage in discounts and access through contract negotiations and effective relationship management.
Develop strategies, draft agreements and negotiate contracts for newly recognized categories of providers.
Oversee the analysis and reporting required to develop reimbursement strategies and take corrective action as needed.
Oversee the performance of hospital audits and appropriate reimbursement of hospital costs.
Accountable for resolution of issues and contractual disputes.
Ensure staff meets/exceeds goals, objectives and initiatives. Ensure staff is trained, positions are filled, and employees receive communications on changes, etc.
Accountable for budget, operational reporting and financial reporting.
Communicate and interact effectively and professionally with co-workers, management, customers, etc.

Requirements

What you’ll need

Bachelor degree and 6 years experience in health care/insurance administration, hospital/health care contracting, and hospital/physician relations OR 8 years experience in health care/insurance administration, hospital/health care contracting, and hospital/physician relations.
5 years management experience.
Knowledge of hospital and provider reimbursement strategies and policies.
Clear and concise verbal and written communications skills including interpersonal skills to represent company to external entities, negotiate contracts, resolve issues, and prepare executive and employee presentations.
Leadership skills, team player, relationship building skills.
Experience working in a fast paced environment and meeting deadlines.
Accuracy and sound judgment with regard to financial matters such as contract performance and impact
Negotiation skills.
Ability and willingness to travel.

Benefits

Comp & perks

health and wellness benefits
401(k) savings plan
pension plan
paid time off
paid parental leave
disability insurance
supplemental life insurance
employee assistance program
paid holidays
tuition reimbursement
other incentives

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

contract negotiationreimbursement strategieshospital auditsfinancial reportingoperational reportingbudget managementhealth care contractinginsurance administrationprovider reimbursement policiesdata analysis

Soft Skills

leadershipinterpersonal skillscommunication skillsrelationship buildingteam playerproblem resolutionaccuracysound judgmenttime managementpresentation skills

Certifications

Bachelor's degree