Jefferson Center for Mental Health · 1 month ago
Director of Contracts and Compliance
Wheat Ridge, CO
Full-time
Onsite
Lead/Staff, Director/Executive
$121K/yr - $150K/yr
5+ years expJefferson Center for Mental Health is dedicated to building a community where mental health matters and equitable care is accessible to all. The Director of Contracts and Compliance will shape and execute the payer strategy to ensure financial sustainability, leading efforts to optimize reimbursement rates and strengthen the organization’s market position.
CommunitiesHealth CareMental HealthNon Profit
Responsibilities
Developing and implementing payer strategies that align with organizational goals and support core service lines
Negotiating favorable rates and terms with payers to optimize revenue and maintain competitive advantage
Driving initiatives to enhance contract performance and ensure compliance with all regulatory and contractual obligations
Building and maintaining strategic relationships with external partners to support long-term success
Overseeing all aspects of contract management processes, ensuring accuracy, efficiency, and adherence to standards
Directing Jefferson Center’s Compliance Program, ensuring organizational adherence to legal, ethical, and regulatory requirements
Develop and implement strategies for payor contracting to support organizational goals
Lead negotiations with managed care entities and other private sector payors to secure competitive rates and terms
Monitor market trends and regulatory changes impacting payor relationships
Oversee the full lifecycle of contracts, including drafting, review, approval workflows, and renewals
Ensure compliance with all contractual obligations and deliverables and maintain accurate records in the contract management system
Ownership of contractual proof of performance and ability to identify and engage internal resources to meet performance requirements
Own and resolve through negotiations any misalignment with new contracts terms and state regulatory requirements
Collaborate with Finance and Operations teams to align contract terms with revenue cycle objectives
Collaborate with Grants team to ensure compliance and tracking of grant deliverables
Ensure adherence to federal, state, and local regulations, as well as internal compliance policies
Partner with internal stakeholders to mitigate risk and address compliance issues promptly
Provide guidance and training to staff on compliance standards and best practices
Supervise the Contracts and Compliance Manager, providing mentorship and performance oversight
Foster a culture of accountability, collaboration, and continuous improvement within the team
Other duties and project leadership as assigned
Qualification
Required
Bachelor's degree in Business, Health Administration, or related field (Master's preferred)
Minimum of five years of experience in contract management within the private sector, experience within a managed care entity preferred
Proven expertise in payor negotiations and compliance oversight
Experience in value-based payment (VBP) arrangements for a behavioral health provider entity
Network contracting experience with a Managed Care Organization (MCO)
Demonstrated ability to secure advantageous payer agreements by leveraging compelling, data-driven narratives that highlight measurable outcomes and value
Strong leadership, organizational, and communication skills
Ability to manage multiple priorities and projects effectively
Preferred
Experience working in or with behavioral health or healthcare organizations
Familiarity with contract management systems and compliance framework
Company
Jefferson Center for Mental Health
Jefferson Center is a nonprofit, community-focused mental health care and substance use services provider.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Kiara Kuenzler
President and CEO
David Goff
VP, Administration and CFO
Recent News
Colorado Community Media
2024-05-20
Company data provided by crunchbase