Bachelor's Degree in Business Administration, Health Care Administration, or related field
10 years of experience in healthcare contracting and business solutions
Significant managed care contracting and analytic experience
Master's Degree in a related field preferred
Responsibilities
Conduct timely contract negotiations to meet UTSW's financial and operational goals
Collaborate with faculty and administrative teams to identify contracting needs
Develop new business opportunities through managed care contracts
Stay informed on healthcare policy and regulations impacting UTSW
Oversee financial reporting and analytics for contracting activities
Facilitate strategic pricing reviews with leadership input
Monitor contract performance and act as liaison with departments and payors
Manage analytic staff, including recruitment and training
Benefits
PPO medical plan available day one at no cost for full-time employee-only coverage
100% coverage for preventive healthcare with no copay
Paid Time Off available from day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer
Full Job Description
JOB SUMMARY The Director of Health Systems Managed Care Contracting provides advanced administrative guidance, operational management of staff responsible for development of health system contracting strategies, negotiations, coordinating facility and faculty business office issues with payors, producing supporting analytics, representing health system's evolving needs to stakeholders, and maintaining relationships with providers and payors for UT Southwestern Medical Center (UTSW).
EXPERIENCE AND EDUCATION
Required
Education Bachelor's Degree in Business Administration, Health Care Administration, or related field
Experience 10 years of experience in contracting and business solutions in healthcare environment In addition, must have significant managed care contracting and analytic experience
Preferred
Education Master's Degree in an appropriate field
JOB DUTIES
Conduct and successfully conclude, in a timely manner, contract negotiations that meet or exceed the financial and operational objectives of UTSW. Proactively enlist legal, operational, and financial input and support in order to achieve maximum benefit for the UTSW System.
Work closely with UTSW faculty, facilities, and administrative teams to identify contracting needs and business office requirements. Whether through direct payor discussion or working through established payor interfacing structures, ensure UTSW's various and evolving needs are being addressed.
Market and develop new business opportunities through pursuing managed care contracts. Develop and maintain positive business relationships with third party payors.
Stay up to date on current and proposed federal and state healthcare policy and regulations that may impact UTSW. Work with UTSW leadership to develop and implement preferred strategies leading to continued UTSW success.
Support analytics and ensures quality control of the reports produced. Oversee the development and routine production of financial reporting in support of contracting, monitoring, and planning activities.
Facilitate UTSW's strategic pricing review by incorporating both internal input and available external resources. Work closely with UTSW leadership to process information that informs strategic decision making to best position UTSW for continued success.
Monitor performance of contracts, regarding their financial performance, volume trends, product implementation, and acts as liaison to facility and faculty departments and payors.
Manage analytic staff which includes recruitment, performance management, counseling and discipline, on-going training, and termination.
Coordinate UTSW's interaction with other affiliated organizations' contracting staff. Attend project planning meetings of regional or national organizations involved in health services contracting.
Develop and implement policies and procedures for operation of unit.
Serve on, attend, and participate in UT Southwestern committees, meetings, and functions as requested by Administration.
Perform other duties as assigned.
BENEFITS UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
PPO medical plan, available day one at no cost for full-time employee-only coverage
100% coverage for preventive healthcare-no copay
Paid Time Off, available day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer
Learn more about these and other UTSW employee benefits!
Salary Information Salary is commensurate with education, skills, and relevant experience.
About University Of Texas Southwestern Medical Center
The University of Texas Southwestern Medical Center (UT Southwestern) is a public academic health science center in Dallas, Texas. With approximately 14,400 employees and an operating budget of nearly $2.8 billion, UT Southwestern is one of six medical schools in the UT System. UT Southwestern is one of the leading medical research institutions in the world, with a focus on biomedical research, clinical care, and education. The institution is home to six Nobel laureates, 22 members of the National Academy of Sciences, and 19 members of the National Academy of Medicine. UT Southwestern is also affiliated with Parkland Memorial Hospital, one of the largest public hospitals in the United States.
