This teammate will be accountable for our contract operations team and overall contract life-cycle management. This teammate will be largely focused on our Medicare Advantage, Commercial HMO and Managed Medicaid books of business.

Contact: Gary@GaryLouisNelson.comEssential Functions:

• Be the key architect in the redesign of our contracting operations capability
• Standard contracts & workflows
• Standard processes / variance reduction
• Contract loading, configuration, validation, audit
• Credentialing
• Contract Lifecycle Management IT system
• Provider, payor and hospital communication (NOCs, etc.)
• Provider directory and fee schedule maintenance
• Network adequacy analytics
• Operational support for all contracting efforts
• Performance management, metrics, etc.
• The ability to dramatically impact the business from Day 1
• Manage a contracting portfolio in excess of 15K relationships – payor, provider, hospital and ancillary
• Lead a large team across 7 markets

The Director will be part of both the National contracting team, playing a pivotal role in the overall direction of the business. The Director will join a team of highly motivated individuals with previous leadership experience across an array of healthcare verticals, consulting and banking.

This position reports to the VP, National Network & Contracting Operations, with significant opportunity for advancement. Locally in Denver, this teammate will sit with a team of Contracting VPs, Directors, Managers and Specialists.

Qualifications:

Education:

• MBA. Prefer candidates from top-ranked institutions.

Experience:

• Minimum: Over 7 years and up to including 10 years of management experience
• Preferred: Over 10 years of management experience
• Risk experience (Medicare Advantage, Commercial HMO, Managed Medicaid)

Knowledge, Skills, and Abilities:

• Executive presence
• Built / designed contracting operations processes & procedures
• Managed a Contract Lifecycle Management IT system
• Led teams
• Strategic mind
• Strong analytical, communication, management, and relationship skills
• Ability to work in a very fast-paced, team-oriented environment
• Desire to have fun and make a difference