CHS Corporate
Dir Physician Contracting
Franklin
,
TN
Full Time
Job Summary
The Director, Physician Contracting is responsible for developing and executing contracting strategies for physician practices, ensuring that agreements align with organizational goals and financial targets. This role focuses on negotiating and renegotiating managed care contracts to secure competitive rates and consistent contract language. The Director collaborates closely with division leadership and managed care teams to optimize contract performance and maintain strong relationships with key payors.
Essential Functions
The Director, Physician Contracting is responsible for developing and executing contracting strategies for physician practices, ensuring that agreements align with organizational goals and financial targets. This role focuses on negotiating and renegotiating managed care contracts to secure competitive rates and consistent contract language. The Director collaborates closely with division leadership and managed care teams to optimize contract performance and maintain strong relationships with key payors.
Essential Functions
- Develops and implements contracting strategies for physician practices, ensuring alignment with organizational objectives and financial targets.
- Leads negotiations and renegotiations of managed care contracts with top payors to secure competitive rates and consistent contract language.
- Projects and monitors the financial impact of executed agreements, providing analysis and insights to senior leadership.
- Facilitates the loading of contracts and fee schedules into contract management systems, ensuring accuracy and compliance.
- Prepares and presents monthly reports on contract activities, including negotiation progress, market trends, and financial performance.
- Establishes and maintains strong relationships with top payors in each market, representing the organization in contract discussions and fostering collaborative partnerships.
- Collaborates with Division Vice Presidents and Directors of Managed Care to align contracting efforts with broader organizational strategies.
- Provides guidance and support to physician practice administrators regarding contract terms, compliance, and negotiation processes.
- Requires regular travel to attend contract negotiations, market meetings, and site visits as needed.
- Performs other duties as assigned.
- Complies with all policies and standards.
- Bachelor's Degree in Business Administration, Healthcare Administration, or a related field required
- 5-7 years of experience in managed care contracting or physician practice management, with a focus on negotiating complex agreements required
- 2-4 years of prior leadership or management experience required
- Strong negotiation skills, with a proven track record in securing competitive managed care contracts.
- Knowledge of healthcare regulations, reimbursement models, and payor dynamics.
- Excellent analytical skills, with the ability to project financial impacts and analyze contract performance.
- Effective communication and relationship-building skills, with experience working with senior leadership and external stakeholders.
- Proficiency in contract management software and financial analysis tools.