Director of Hospital Contracting & Relationships
About The Position
The Director of Hospital Contracting & Relationships is responsible for developing, negotiating, and managing Solis Health Plans' strategic hospital partnerships. This position serves as the executive liaison to contracted hospitals, leads all hospital contracting activities, facilitates Joint Operating Committees (JOCs), and ensures contractual relationships support organizational objectives related to quality, access, operational performance, and financial stewardship. The Director works collaboratively with the Director of Payment Integrity, who provides financial analysis, payment integrity oversight, reimbursement validation, and contract performance reporting. Together, these roles create a balanced approach that combines data-driven decision making with executive relationship management.
Requirements
- Bachelor's degree in Business Administration, Healthcare Administration, Finance, or related field.
- 8–10+ years of experience in managed care, provider contracting, hospital administration, or network management.
- Demonstrated experience negotiating complex hospital agreements.
- Strong understanding of Medicare Advantage reimbursement methodologies.
- Executive-level communication, negotiation, and relationship management skills.
Nice To Haves
- MBA, MHA, JD, or related advanced degree.
- Experience with value-based reimbursement models.
- Experience facilitating executive governance committees or JOCs.
- Working knowledge of payment integrity and healthcare financial analytics.
Responsibilities
- Lead negotiations for new, renewed, and amended hospital agreements.
- Develop contracting strategies aligned with organizational growth and financial objectives.
- Coordinate contract renewals, amendments, and implementation.
- Partner with Finance, Legal, Network Development, Operations, and Executive Leadership during negotiations.
- Recommend reimbursement and value-based contracting strategies.
- Serve as the executive relationship manager for contracted hospitals.
- Develop and maintain strong partnerships with hospital executives.
- Resolve escalated operational issues collaboratively.
- Represent Solis during executive meetings and strategic initiatives.
- Establish and chair recurring Joint Operating Committees.
- Develop structured agendas and performance reviews.
- Coordinate participation across Finance, Clinical, IT, Compliance, Operations, and Provider Network.
- Track action items and ensure accountability.
- Monitor operational, quality, utilization, and service performance.
- Partner with the Director of Payment Integrity to review financial performance and reimbursement trends.
- Identify opportunities for operational improvement and contract optimization.
- Coordinate enterprise initiatives involving hospital partners.
- Support new market expansion and hospital onboarding.
- Ensure operational alignment following contract execution.
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What This Job Offers
Job Type
Full-time
Career Level
Director
