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NextGen Person

Director, Contracting and Network Development in Clayton, MO at NextGen

Date Posted: 7/6/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Clayton, MO
  • Job Type:
    Technology
  • Experience:
    Not Specified
  • Date Posted:
    7/6/2018

Job Description


Job req ID: 1094261




Job description



Position Purpose: Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.



  • Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit's policies and standards, government laws and regulations

  • Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions.

  • Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources

  • Perform complex financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives

  • Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets

  • Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning

  • Ability to travel




Qualifications:



Education/Experience: Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of combined contracting, network development or provider relations experience. Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements. Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff.