Sr Manager Key Provider Contracts

HCSC•Richardson, TX

11d•Hybrid

About The Position

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for directing all negotiations, strategies and direct execution of the business plan for providers in our HealthSpring Alabama (includes MS and Northwest FL) and Georgia markets. There will be emphasis on key health systems and providers that contribute $10M or more in annual allowed spend, though this Leader and their team will be responsible for contracting all medical agreements across these markets. The role is responsible for market and partner direct relationship development, critical contract negotiations, establishing fee-for-service and value based contracts that enable financial and operational engagement strategies and internal cross-functional engagement with matrix partners. Role also will include leading and/or supporting select additional strategic plan initiatives that involve high value partners, inclusive of cross-functional strategic projects within Healthcare Delivery and network and value-based care program evolution, where high value provider partners are targeted for participation. Leader must work collaboratively with key network finance, contracting, analytics and operations areas as well as with enterprise areas to ensure there is alignment with partner strategies and the financial implications thereof; documenting and conducting analysis of current and proposed contract arrangements and its impact on HealthSpring strategy and managing its impacts on divisional and departmental short term and long term planning.

Requirements

Bachelor degree and 7 years experience in health care, health insurance, or strategic consulting environment
2-4 years management experience with an emphasis on experience managing external stakeholders
Experience with strategic planning, financial and data analysis, and research
Working knowledge of various health insurance products.
Strong financial acumen including understanding of financial statements and network contribution to plan financial performance.
Experience leading and mentoring staff.
Contract negotiation, development and execution.
Clear and concise verbal and written communication skills.
Experience with interacting successfully with senior management and staff across multiple departments.
Organizational skills, including ability to prioritize tasks.
Creativity in problem solving and create processes within ambiguity.
Business acumen and project/process integration skills.

Nice To Haves

MBA or MHA.
Health care industry experience.
Medicare Advantage knowledge and expertise.
Commercial, Affordable Care Act knowledge and/or Medicaid MCO. Knowledge a plus.