Sr. Director

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.

Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview

Responsible for developing and maintaining long term productive relationships with HMOs, PPOs, capitated medical group, government payers, and other payers that support the hospitals and physician groups strategic goals and objectives of Stanford Health Care including Stanford Medical Center, Stanford Faculty, University Healthcare Alliance, Affinity and Stanford Health Care/Valleycare. Negotiates contracts with payers that meet the financial, operational and strategic goals of Stanford Health Care. Ensures that these agreements consider and balance the needs of all Stanford Health Care constituencies including hospitals and physicians. Position collaborates with senior management, physicians, service line administrators and operational departments to develop an understanding of new therapies, technologies, and procedures to ensure that their costs are appropriately reflected and reimbursed in managed care agreements. Collaborates with senior management in the development and facilitation of business development strategies. Directs physician contract proposal modeling and miscellaneous analytical activity as assigned.

Locations

Stanford Health Care

What you will do

• Responsible for the successful negotiation and management of designated payor agreements including developing, evaluating and implementing and establishing profitable payor relationships to achieve Stanford Health Care's objectives.
• Develops and maintains productive working relationships with internal and external customers.
• Evaluates contracts to optimize pricing and strategically align hospital and physician incentives.
• Negotiates contract terms and payment rates that are consistent with Stanford Health Care's financial and legal guidelines and overall contracting strategies. Ensures timely and effective implementation of contracts through communication with key Stanford Health Care departments and others as appropriate.
• Responds to requests for assistance in resolving a wide range of contract performance and operational issues associated with the implementation of contracts.
• Monitors industry trends to identify opportunities and potential problems for Stanford Health Care.
• Provides support to department and various other Stanford Health Care departments on issues of managed care strategy, reimbursement, cost, payer mix, and other contract specific issues.
• Analyzes contract performance using data maintained by the department and responds quickly and effectively to significant trends.
• Researches options for participation in new managed care contracts.
• Responds to physician concerns relative to contract pricing, cost, managed care, etc. as needed.
• Acts as a liaison in developing strong interdepartmental working relationships with senior management, department administrators, physicians, etc., regarding managed care strategy, contracting and operational issues.
• Works with service lines to identify programs to market and facilitates program development to meet strategic objectives relative to managed care contracting.

Education Qualifications

• Bachelor's degree in a work-related field/discipline from an accredited college or university
• Advanced degree preferred

Experience Qualifications

• Minimum 10 years of broad and extensive experience managing and leading programs, in a healthcare setting, preferably including both medical group and hospital experience, and in work units or departments of comparable size, scope and complexity

Required Knowledge, Skills and Abilities

• Ability to manage, coach and develop employees
• Ability to provide leadership and influence others
• Ability to communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, conflict resolution, consulting and advising as well as prepare clear, comprehensive written and oral reports and materials
• Ability to establish the strategic direction and business plans for a functional group
• Ability to administer and negotiate contractual agreements
• Knowledge of health care, marketing, managed care strategy, financial/contract analysis and the medical reimbursement environment

Licenses and Certifications

• None

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family's perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $ $111.16 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow.

As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care.

Learn about our awards ) and significant events ) .