National Director Network Contracting (Healthcare) Join to apply for the National Director Network Contracting (Healthcare) role at P3 Health Partners National Director Network Contracting (Healthcare) 1 day ago Be among the first 25 applicants Join to apply for the National Director Network Contracting (Healthcare) role at P3 Health Partners People. Passion. Purpose.

A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible.

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. People. Passion. Purpose.

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.

We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting of health care, transforming it from sickness care into wellness guidance.

We are looking for a National Director of Network Contracting. If you are passionate about your work; eager to have fun; and motivated to be a part of a fast-growing organization then you should consider joining our team.

National Director of Network Contracting

Overall Purpose:

The National Director of Network Contracting will lead contracting activity on a national level and produce outcomes consistent with corporate guidelines and requirements. The incumbent will be responsible for overseeing the network expansions and identifying future opportunities. They will offer technical contracting leadership, management and expertise. They will also manage budgeting and forecasting initiatives for networks costs and provider contracts.

Essential Functions:

Oversees assigned staff. Responsibilities include recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and disciplinary employees. Responsible for overseeing new network expansions and future opportunities. Negotiates, implements, and manages capitated and fee-for-service agreements with individually contracted Primary Care Physicians (PCP), medical groups, hospitals, ancillary providers, and specialists. Analyzes current and projected network needs for cost/utilization and competitor standpoints. Analyzes, negotiates, and drafts contract rate and language proposals consistent with corporate guidelines for language, financial and operational performance. Oversees administration of the contracts to ensure anticipated results, identify negative performance trends, and implement cost containment and other improvement strategies. Collaborates with regional executive team and other departments to ensure contracted network support of operating goals, including STARS, HEDIS, and other initiatives. Oversees any required contract amendments and resolves contract issues. Responsible for several lines of reporting; dashboards, strategy decks, timelines, etc. Contributes expertise to development of organizational best practices. Coordinates managed care contracting for acquisitions and networks. Leads cost saving contracting initiatives within assigned market and initiatives that may lead to cost savings in other P3 markets. Exhibits P3 Corporate Goals, Mission, and Vision.

Knowledge, Skills, and Abilities:

Must have a high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact and diplomacy. Ability to interact and communicate with individuals at all levels of the organization and external parties. Demonstrated knowledge of variety of computer software applications in word processing, spreadsheets, database and presentation software (Word, Excel, Access, PowerPoint). Proven ability to foster collaboration, value others perspective and gain support and buy-in for organization proposal. Ability to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands. Excellent planning and coordinating skills. Ability to multitask competing priorities.

Experience:

Must have a minimum of 12 years of specific work experience in managed care contracting to include network expansion projects, hospitals, specialty physician, and ancillary contracting. Must be well versed in CMS reimbursement and capitated, per visit, per diem, DRG, APC, VBC, and free for service methodologies. Must have exceptional national payer contracting negotiation experience.

Education:

Bachelor’s Degree; MBA or MPH strongly desired

Travel Required: Yes. Travel will be required to engage with potential providers, develop relationships with physicians, clinical teams, etc. and overall building of the organization’s networks.Seniority level Seniority levelNot Applicable Employment type Employment typeFull-time Job function Job functionHealth Care Provider IndustriesHospitals and Health Care Referrals increase your chances of interviewing at P3 Health Partners by 2x Get notified about new Director of Contracting jobs in Henderson, NV . Director of Catering Operations | Full-Time | Allegiant Stadium Las Vegas, NV $100,000.00-$125,000.00 2 weeks ago Director of Network Contracting (Healthcare) Henderson, NV $160,000.00-$180,000.00 4 days ago Director of Enterprise Risk and Fraud OperationsBrand Agency Project & Operations Director Las Vegas, NV $76,710.40-$115,065.60 1 week ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

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