Director HS Managed Care Contracting

UT Southwestern Medical Center•Dallas, TX

18h

About The Position

The Director of Health Systems Managed Care Contracting provides advanced administrative guidance and operational management of staff responsible for developing health system contracting strategies, negotiating contracts, coordinating facility and faculty business office matters with payors, producing supporting analytics, representing the health system’s evolving needs to stakeholders, and maintaining relationships with providers and payors for UT Southwestern Medical Center. The applicant needs to live in the north Dallas area. The role leads contracting negotiations and strategic pricing, supports analytics and financial reporting, monitors contract performance, and works with UTSW leadership and internal teams to support strategic decision-making and the organization’s continued success. It also manages analytic staff and develops and implements unit policies and procedures.

Requirements

Bachelor’s degree in Business Administration, Health Care Administration, or a related field.
10 years of experience in contracting and business solutions in a healthcare environment.
Significant managed care contracting and analytic experience.
Applicant needs to live in the north Dallas area.

Nice To Haves

Master’s degree in an appropriate field.

Responsibilities

Conduct and successfully conclude timely contract negotiations that meet or exceed UTSW’s financial and operational objectives.
Proactively enlist legal, operational, and financial input and support to achieve maximum benefit for the UTSW System.
Work with UTSW faculty, facilities, and administrative teams to identify contracting needs and business office requirements.
Ensure UTSW’s evolving needs are addressed through direct payor discussions or established payor interfacing structures.
Market and develop new business opportunities by pursuing managed care contracts.
Develop and maintain positive business relationships with third-party payors.
Stay current on federal and state healthcare policy and regulations that may affect UTSW.
Work with UTSW leadership to develop and implement strategies that support continued success.
Support analytics and ensure quality control of reports.
Oversee development and routine production of financial reporting for contracting, monitoring, and planning.
Facilitate UTSW’s strategic pricing review using internal input and available external resources.
Work with UTSW leadership to process information that informs strategic decision-making.
Monitor contract financial performance, volume trends, and product implementation, and act as a liaison among facility and faculty departments and payors.
Manage analytic staff, including recruitment, performance management, counseling and discipline, ongoing training, and termination.
Coordinate UTSW’s interaction with contracting staff at affiliated organizations.
Attend project planning meetings of regional or national organizations involved in health services contracting.
Develop and implement policies and procedures for unit operations.
Serve on, attend, and participate in UT Southwestern committees, meetings, and functions as requested by Administration.
Perform other duties as assigned.

Benefits

PPO medical plan, available on day one at no cost for full-time employee-only coverage.
100% coverage for preventive healthcare with no copay.
Paid Time Off, available on day one.
Retirement programs through the Teacher Retirement System of Texas (TRS).
Paid Parental Leave Benefit.
Wellness programs.
Tuition reimbursement.
Public Service Loan Forgiveness (PSLF) Qualified Employer.
On-site childcare.
Paid holidays.
Healthcare benefits.