Career Opportunities

Executive Director, Contracting - Contract & Network Development - F/T - Days at Careers | UC Irvine Health - 12664

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Updated: August 9, 2019
Job Family: Executive

Job Description & Salary Range

UC Title:                                     Director

Position Number:                      10007098

Reports to:                                 Exec Dir, Chief Amb Officer

Working Title:                            Director, Contracting

Cost Center:                              Contract & Network Development (8514)

Bargaining Unit:                       None

FLSA:                                          Exempt

Job Code:                                  0245

Date Created:                            06/05/2019

Shift:                                           Day Shift

Hours:                                         40.00

 

Position Summary: 

The Director of Contracting will work closely with the UCI Health Executive team, as well as key stakeholders in the School of Medicine to establish the strategic direction for contracting in the Health System. The Director will be responsible to create and lead participation in innovative health care programs, including value based care, bundled payments and employer-direct programs; optimize financial and regulatory System performance, and lead the effective drafting, review, negotiation, execution, implementation, and evaluation of health plan contracts, as well as other clinical service contracts. The Director will be accountable for implementing growth strategies and therefore must be well versed in managed care, value-based contracting, narrow networks, and innovative payment models.

 

Required Qualifications:

Ability to develop and manage business plans to achieve objectives

Ability to maintain a work pace appropriate to the workload

Bachelor's Degree in Business, Finance, Healthcare or related discipline, or equivalent combination of education and/or comparable work experience

Demonstrated ability to interact effectively, build trust and establish effective working relationships across the Health System and with a wide variety of audiences

Demonstrated ability to lead change and accomplish results, effectively integrating functions with business plans

Demonstrated competency and the working knowledge and understanding of contract lifecycle management and the contracting environment, including the broader marketplace

Evidence of sound critical thinking skills and the ability to think creatively and strategically to problem solve

Excellent written and verbal communication skills in English

Experience in leading large, complex projects to achieve key business objectives

Knowledge of healthcare provider office practices, medical terminology and insurance billing/coding

Meticulous and detail oriented coupled with proven analytical skills

Minimum 5 years’ provider contracting experience in a managed care environment, including negotiation, preparation, review, administration, maintenance, and monitoring of contracts

Must demonstrate customer service skills appropriate to the job

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

Previous experience in a supervisory or management role

 

Preferred Qualifications:

Experience in an academic medical center environment

Knowledge of University and medical center organizations, policies, procedures and forms

Master’s degree in business management or healthcare administration

 

Physical, Mental & Environmental Demands:

To comply with the Rehabilitation Act of 1973 the essential physical, mental and environmental requirements for this job are listed below. These are requirements normally expected to perform regular job duties. Incumbent must be able to successfully perform all of the functions of the job with or without reasonable accommodation.

 

 

 

 
 
Locations
101 The City Drive
Orange , CA , United States
92868
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