Executive Director, Provider Contracting

Health Care Service Corporation

. Develop and manage contracting strategies for commercial and government networks .

Posted 11/4/2026full-timeRemote • United StatesLead💰 $161,500 - $299,700 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in developing and managing contracting strategies for commercial and government networks, with a strong focus on negotiation, reimbursement strategies, and compliance with healthcare regulations. Proven ability to lead teams, manage budgets, and communicate effectively across various stakeholders.

Highest-signal resume keywords

Contract NegotiationReimbursement StrategiesLeadership ExperienceBudget ManagementHealthcare Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract DevelopmentReimbursement AgreementsFinancial ReportingCost-Benefit AnalysisNetwork Adequacy AssessmentOperational ReportingContractual Issue ResolutionProvider RelationsHealthcare AdministrationNegotiation Skills

Soft Skills

Clear CommunicationInterpersonal SkillsRelationship BuildingTeam CollaborationProblem Solving

Certifications & Qualifications

Bachelor DegreeMBA or Masters in Health Administration

Industry Keywords

HealthcareInsurance AdministrationHospital ContractingCompliance ProgramHIPAADiversity PrinciplesCorporate IntegrityProvider CategoriesMatrixed EnvironmentFast-Paced Environment

About the role

Key responsibilities & impact

Develop and manage contracting strategies for commercial and government networks
Develop, negotiate, and complete reimbursement contracts
Ensure network adequacy for commercial and government networks
Draft reimbursement agreements and negotiate contracts for hospitals, large professional groups, and hospital-based physicians
Achieve competitive advantage in discounts and access through contract negotiations and relationship management
Develop strategies and negotiate contracts for newly recognized provider categories
Oversee analysis and reporting for reimbursement strategies and take corrective action
Resolve contractual issues and disputes
Oversee management and staff involved in contracting operations
Ensure staff meet goals, receive training, and are informed of changes
Manage budgets, operational reporting, and financial reporting
Communicate with coworkers, management, customers, and external entities
Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies, and other applicable policies
Maintain confidentiality of company business
Communicate developments to the Vice President, Network Management
Perform special projects as required or requested
Ability and willingness to travel

Requirements

What you’ll need

Bachelor degree and 15 years experience in health care/insurance administration, hospital/health care contracting, and hospital/physician relations OR 19 years experience in these areas
7 years management experience
Knowledge of hospital and provider reimbursement strategies and policies
Clear and concise verbal and written communication skills, including interpersonal skills
Ability to represent the company to external entities, negotiate contracts, resolve issues, and prepare executive and employee presentations
Leadership, team player, and relationship-building skills
Experience working in a fast-paced environment and meeting deadlines
Ability to work cross-functionally in a highly matrixed environment
Accuracy and sound judgment regarding financial matters such as contract performance and impact
Negotiation skills
Experience overseeing annual budgets and allocating resources
Ability to translate needs and initiatives into compelling business cases
Experience conducting cost-benefit analyses to justify investments and ensure ROI
MBA or Masters in Health Administration preferred
Must live within the continental United States, excluding Alaska, California, Hawaii, and New York
Sponsorship is not available

Benefits

Comp & perks

Curated development plans and professional development
Health and wellness benefits
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Other incentives
Annual incentive bonus plan