Director Provider Compensation Contracting - Provider Services jobs in United States
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Health First · 5 months ago

Director Provider Compensation Contracting - Provider Services

Health First is a healthcare organization that values diversity and inclusion. The Director of Provider Compensation and Contracting serves as an administrative partner to leaders across the Health First Integrated Delivery Network, managing physician compensation programs and engaging in contract negotiations with providers.

Health CareHealth InsuranceHome Health CareHospitalMedical DeviceWellness

Responsibilities

Manages the design, implementation, and maintenance of physician compensation programs to ensure equitable, legally compliant, and competitive pay practices, while overseeing high-level project work related to physician and Advanced Practice Provider compensation
Establishes and maintain relationships with executive leaders, department leaders, and physician leaders to successfully collaborate in implementing and monitoring efficient physician compensation practices and models and develops compensation plans for specialty groups and individual sub-specialists, advising on best practices
Conducts contract negotiations with existing and new providers, negotiating the best system rates based on agreements with agencies/third-party partners while balancing regulatory parameters
Works and collaborates with internal departments to ensure accurate and timely provider payments and to clarify provider payment issues
Manages the maintenance of databases, dashboards, and custom reports/inquiries
Collaborates with the finance team to perform financial modeling, ensuring compliance with policies, regulatory requirements, and the enterprise’s mission, values, and financial goals
Serves as a liaison to leadership in physician compensation design, changes, and interpretations of compensation plans or amendments. Communicate and collaborate with recruitment, operations, finance, human resources, and payroll, and also acts as the primary contact for external consultants regarding compensation survey access and fair market value (FMV) reviews
Leverages established knowledge of professional practices and regulatory standards to champion the development of compensation and contracting philosophies, guidelines, and processes
Communicates contract terms to finance and other internal stakeholders to ensure provider compensation is accurate and with legal team to ensure contract language complies with all governmental and regulatory bodies
Partners with other leaders regarding any foreseeable contracting or compensation issues related to participating providers and engages with internal entities and leaders to align compensation with system goals and advance organizational strategy
Participates in local, regional, and national professional practice networks, serving as the subject matter expert on current market trends. Consult with regional and national multi-specialty group practices/integrated health systems regarding compensation and contracting topics and strategies
Oversees standards for maintaining level of security within scope of responsibility, abiding by established Health First information Security policies and procedures; contracts and compliance of contracts with regulatory agencies as required in professional practice
Define and communicate a clear, compelling vision for the team that effectively ties into the mission and vision of Health First and inspire the team to achieve that vision
Provide leadership, motivation, coaching, feedback and support to foster and strengthen growth and development of an effective, high performing team
Lead change through effective communication, explaining the connection and value to the organization, creating stronger buy-in and urgency, while understanding impact to the team to obtain commitment
Demonstrate openness to hearing diverse ideas and thoughts; create a sense of inclusivity; and encourage collaboration across teams to help break down silos to meet the team’s and organization’s goals
Recruit, select, grow, and retain highly engaged, high performing diverse and inclusive associates
Display strong strategic and financial acumen in areas of responsibility in alignment with the organization's strategic objectives

Qualification

Healthcare employment contractingFinancial modelingNegotiation skillsMicrosoft OfficeInterpersonal skillsCommunication skillsOrganizational skillsProblem-solving skillsConflict resolution skillsPresentation skills

Required

This position requires the individual to reside within the State of Florida with onsite responsibilities
Education: Bachelor's degree in Healthcare or Business Administration, or relevant field
Work Experience: Ten (10) years of related experience
Licensure: None
Certification: None
Skills/Knowledge/Abilities: Proficient in Microsoft Office – Outlook, Word, Excel, PowerPoint, etc
Strong interpersonal, communication, and organizational skills
Ability to maintain positive working relationships at all levels within the organization
Ability to work independently with minimal supervision
Ability to assess complex income scenarios and make decisions related to FMV
Strong written, oral, and auditory communication skills; presentation and public speaking skills are a plus
Negotiation, problem-solving, and conflict resolution skills

Preferred

Healthcare employment contracting experience preferred

Company

Health First

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Health First provides medical equipment, health care, and insurance services.

Funding

Current Stage
Late Stage

Leadership Team

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Frank Letherby
CEO Community Health Services
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Kent Smith
Chair, Interim President & CEO
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Company data provided by crunchbase