Executive Director, Strategic Contracting

City of Hope

29d

About The Position

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.
The Executive Director, Strategic Contracting serves as authority for payer contracting strategy across all City of Hope entities. The Executive Director will establish system-wide network strategy across California and CAP markets, partner with internal stakeholders to ensure contract execution and enforcement, and act as a relationship leader between City of Hope and its payer partners to support relationship management, contracting, and negotiations.
As a successful candidate, you will:
Develop payer and pricing strategy in collaboration with organizational leaders.
Evaluate the performance of each contract, determine negotiation timeline for negotiations and prioritize new contract provisions to be included in contracts.
Enhance relationships with payers. Understand needs and future strategies of payer partners regarding products, pricing and new technology. Identify and establish new payer relationships to support community expansion and business development.
Negotiate payer agreement financial terms and language terms to increase reimbursement and enhance patient access to City of Hope National Medical Center, City of Hope Medical Foundation and City of Hope’s clinical practice network.
Lead COH payer contracting team for the enterprise including Patient Financial Services, Revenue Cycle, Legal and outside legal counsel to resolve contract disputes or large payment issues with payers. Collaborate with VP of Revenue Cycle on strategies for improving billing and collections with payers

Requirements

• Master’s Degree in Business Administration, Health Administration, Public Health, or Public Administration.
• At least five years of experience negotiating managed care contracts
• 10+ years of related experience
• 7 years of experience in management

Responsibilities

• Develop payer and pricing strategy in collaboration with organizational leaders.
• Evaluate the performance of each contract, determine negotiation timeline for negotiations and prioritize new contract provisions to be included in contracts.
• Enhance relationships with payers. Understand needs and future strategies of payer partners regarding products, pricing and new technology. Identify and establish new payer relationships to support community expansion and business development.
• Negotiate payer agreement financial terms and language terms to increase reimbursement and enhance patient access to City of Hope National Medical Center, City of Hope Medical Foundation and City of Hope’s clinical practice network.
• Lead COH payer contracting team for the enterprise including Patient Financial Services, Revenue Cycle, Legal and outside legal counsel to resolve contract disputes or large payment issues with payers. Collaborate with VP of Revenue Cycle on strategies for improving billing and collections with payers

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Number of Employees: 1,001-5,000 employees