At ChristianaCare, we serve as our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value. Are you an innovative individual seeking a position responsible for developing and implementing a value based/risk strategy that introduces and delivers new reimbursement models across all lines of business units, service lines, and market segments If you possess this desire and a background in contracting with Provider and Payor experience this is the opportunity you have been seeking!
ChristianaCare seeks Senior Directors, Managed Care Contracting and Payor Relations to join our Enterprise Contracting and Payor Relations team these individuals will negotiate with and form an integrated healthcare delivery system for traditional fee for service and value based and risk contracting.
PLEASE NOTE - We are looking for a local candidate who can be on-site at least 2 days per week. Please only apply if you are local or willing to relocate.
The successful candidate is responsible for:
- Leading negotiations for new and renewal of major payer contractual agreements within a portfolio of private and public sector third-party payors
- Supports the VP, Enterprise Contracting & Payor Relations in the development of a spectrum of value-based programs and/or alternative payment models across entities within the organization – CCHS, CCHI, CIN, Union, DCMFM, CCVNA, etc.
- Identifies revenue improvement opportunities and prepares recommendations for profitability optimization in conjunction with and operational issues within third-party agreements
- Develops and maintains good working relationships with major third-party payors and CCHS senior administrative and clinical leadership
- Collaborates across the organization including, but not limited to, finance, legal, population health management, clinical operations
Education and experience requirements:
- Bachelor's degree in Business Administration, Healthcare Administration or Finance from an accredited university.
- Minimum of ten (10)years of contracting experience with a Provider or Payor
- Experience negotiating with or for private/public sector third party payers for traditional fee for service and value based and risk contracting
- Healthcare insurance product and regulatory knowledge within ACA, Commercial, Medicare, Medicare Advantage and State Medicaid programs
ChristianaCare Benefits
Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and phenomenal discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets, etc.
We also provide tuition assistance for degreed programs. Our medical/dental/vision benefits are available to our caregivers on their first day of employment! And we offer two different mechanisms toward planning for your retirement, a 403(b) and a defined contribution plan.
ChristianaCare is one of the country’s most multidimensional health systems, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs. Christiana Care includes an extensive network of outpatient services, home health care, medical aid units, three hospitals (1,300 beds), a Level I trauma center and regional centers of excellence in heart and vascular care, cancer care and women’s health.
Working for Christiana Care offers the best of urban and suburban living with multiple housing options, excellent restaurants and entertainment venues, quality schools and a short driving distance to popular Delaware and New Jersey beaches. The location provides easy access to Washington, DC, Philadelphia and New York City – all within a short drive or train ride from Newark, DE.
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