Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
Job Summary
Maintains Atrium Healths managed care portfolio performance. Ensures appropriate planning and execution of each negotiation, to ensure appropriate contract rates and language are negotiated within established deadlines with yields that meet or exceed budget. Ensures Atrium Health maintains payor pricing parity and develops contracting strategy for the system, and ensures implementation of strategy through contracting activities.
Essential Functions
Physical Requirements
Performs most work under normal office conditions. Work may include sitting for long periods of time, standing, walking, using repetitive wrist/arm motion or lifting articles up to 25 pounds.
Education, Experience and Certifications
Bachelor's Degree required, Advanced degree, MBA or MHA preferred. Seven years provider experience as a contract negotiator required; willing to consider ten years combined provider and/or payor experience as a contract negotiator. Proven track record of closing negotiations on time and at or exceeding budget expectations. Must have closed negotiations for a major payor/major system required.