Responsible for network development, provider contracting, contract negotiations and coaching oversight to staff. Establishes and provides oversight of the department's policies, procedures, and practices.
Develop, implement and evolve processes and structures to ensure effective and compliant business systems and operations. Manage and modify as needed standard operating procedures for project set up, operations, reporting, QA processes, and documentation procedures.
The Director, Contract Operations, is responsible for leading and continuing the development of the Contract Operations function for a growing commercial organization with two approved products (one for the treatment of addiction and another for the treatment of schizophrenia) and a portfolio of pipeline product candidates focused on CNS diseases.
The Government Contracting Director is responsible for supervising client engagements, maintaining client relations providing client support in the areas of accounting, contracts, and pricing, and overseeing assigned associates and senior associates.
Prepare and provide training, materials and tools for use by EOGH providers and their staff regarding key managed care contract provisions, market trends and opportunities for improvement in support of facility goals and objectives, consistent with the mission and values of EOGH.
overseeing activities of the provider contracting, network development and provider relations function on behalf of large hospitals, physician groups and ancillary service providers (the System) while in accordance with corporate policy, government regulation and health plan procedure.
Coordinating, negotiating and overseeing activities of the provider contracting, network development and provider relations function on behalf of large hospitals, physician groups and ancillary service providers (the System) while in accordance with corporate policy, government regulation and health plan procedure.
The Director of Contracts is responsible for overall management of corporate contracting policy, compliance framework, and execution. The Director also leads a small team in the contracts administration and purchasing departments.
He/she will be responsible for developing and implementing strategic international sales plans and forecasts to achieve corporate objectives for products and services; developing and managing sales operating budgets; and achieving satisfactory profit/loss ratio and market share in relation to present standards and industry and economic trends.
The Director of Network Contracting develops the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives.