Sr. Mgr, Contracting and Operational Excellence and Improvement

PediaTrust•Northbrook, IL

18h

About The Position

The Sr. Mgr, Contracting and Operational Excellence and Improvement will be responsible for developing and implementing contracting strategies, managing payer relationships, and driving continuous improvement initiatives across clinical and operational teams. This role involves strategic planning, process optimization, and leadership development to enhance operational efficiency, quality outcomes, and patient experience. The position requires a strong understanding of value-based reimbursement models and the ability to foster a culture of innovation and data-driven decision-making.

Requirements

Minimum Bachelor’s degree; advanced degree preferred
Proven track record of managing staff to their best potential, both in-person and remotely
Strong organizational and communication skills
Experience in managing complex, strategic projects
Minimum of three to five years of experience in strategy, planning, and/or business operations

Nice To Haves

Preferable background in healthcare or design

Responsibilities

Develop and implement contracting strategy, including ownership, governance, and payer portfolio review.
Partner with credentialing and finance departments to establish review and reporting cadences for financial performance metrics.
Develop and maintain partnerships with value-based contracted payors to support population health initiatives.
Monitor trends in value-based reimbursement models and assess their impact on the organization.
Advise senior leadership on strategic opportunities and operational implications of value-based care programs.
Establish and oversee a centralized contract management process for tracking key components, financial performance, and compliance.
Establish and maintain a negotiation/renewal and management strategy for payer contracts.
Champion a culture of continuous improvement, fostering innovation, accountability, and data-driven decision making.
Identify and prioritize opportunities to enhance operational efficiency, reduce costs, and improve quality outcomes.
Partner with clinical and operational leaders to align improvement initiatives with organizational priorities.
Identify a clinical strategy roadmap that aligns with mission, vision, and organizational priorities.
Operationalize a clinical leader meeting cadence or grand rounds to share pertinent clinical updates and workflow changes.
Lead the design, development, and implementation of a development program to cultivate leadership competencies.
Establish and support a physician management structure that promotes engagement in strategic decision-making and operational oversight.
Partner with the CEO and COO to facilitate leadership meetings and committees.
Develop and operationalize a dyad leadership model, partnering physician leaders with administrative and operations leaders.
Provide coaching, mentorship, and leadership training to physician and operations’ leaders.
Serve as a champion for quality and safety by modeling and reinforcing a culture of accountability and clinical excellence.
Identify high-potential physicians and implement succession planning strategies.
Collaborate with the COO to refine and execute the organization’s strategic plan.
Operationalize standardization of employed clinician contracts, and implement audit and accountability mechanisms.
Performs other duties as assigned.