Director, Payer Contracts

4 weeks ago

Brentwood, United States Ardent Corporate Full time
Overview

Ardent Health Services is a leading provider of healthcare in communities across the country. Through its subsidiaries, Ardent owns and operates nearly 200 sites of care and 30 hospitals across six states. Together, our 24,000 employees and 1,200 employed providers touch more than 10,000 lives each day. With six Ardent entities earning recognition on Modern Healthcare's Best Places to Work list in 2022, Ardent and its facilities continue to earn recognition for outstanding workplace cultures where team members feel a sense of belonging and have opportunities to grow their careers. Ardent has also been recognized by Comparably's Best Places to Work Awards, earning honors in the Best CEO, Best Company for Women, Best Leadership Teams and Best Work Life Balance categories among others.

POSITION SUMMARY

The Director, Payer Contracts provides strategic direction and leadership through effective negotiation and implementation of reimbursement structures and payment models, management of payer and physician relationships, managed care partnerships, and network development. The Director will develop contracting strategies to ensure best possible outcomes for Ardent Health and will work collaboratively with payers on new payment models and business opportunities.

Responsibilities

  • Directly negotiates and provides oversight in all professional and value based contract negotiation and contracting activities consistent with Ardent Health's strategies, business, and financial plans.
  • Participates in the development of contract language and negotiation strategy.
  • Provides thorough financial analyses of contract performance.
  • Develops contracting strategies for governmental contracts to ensure best possible outcomes for the assigned entities.
  • Analyzes and monitors financial and operational aspects of existing managed care contracts for performance compared to expected and for use in making recommendations on renewals, re-negotiations, and terminations.
  • Cultivates and maintains professional relationships with all third parties and vendors to promote proactive problem resolution.
  • Leads projects as assigned.

Qualifications

Education and Experience:

  • Bachelor's degree, required; Master's degree in related field, preferred
  • 10+ years of experience negotiating and managing contracts required, preferably in healthcare
  • 5+ years of supervisory experience, preferably in healthcare
  • Experience in large, multi-facility organization, preferred
  • Multi-state experience, preferred
  • Previous experience with an insurance provider, preferred

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