Samaritan Health Services

Director of Provider Contracting

Samaritan Health Services • $110K — $130K *
Corvallis, OR 97330In-Person
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience in a related field; Master's degree preferred.
  • 7+ years in provider contracting or healthcare finance, with 2+ years in leadership.
  • Experience with reimbursement methodologies and healthcare regulatory requirements.
  • Skilled in negotiating with hospitals and health systems.
  • Capable of collaborating effectively with Finance, Actuarial, Legal, and Compliance teams.

Responsibilities

  • Lead the strategic and operational management of the Provider Contracting Department.
  • Oversee provider contract development and negotiation processes.
  • Design reimbursement methodologies aligned with financial and regulatory standards.
  • Manage the contract lifecycle across diverse business lines.
  • Ensure alignment between contracting strategies and organizational objectives.

Benefits

  • Remote work flexibility across various states in the U.S.
  • Opportunity for leadership and career advancement within the healthcare sector.
  • Engagement in strategic financial planning and management.
  • Collaboration with multidisciplinary teams, enhancing professional growth.
Full Job Description
  • This is a remote position in which we are able to employ in the following states: Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin
  • JOB SUMMARY/PURPOSE
  • The Director of Provider Contracting is responsible for the strategic leadership, financial oversight, and operational management of the health plan's Provider Contracting Department within the Finance division of Samaritan Health Plans. This role oversees provider contract development, negotiation, reimbursement methodology design, and contract lifecycle management across all applicable lines of business. The Director will ensure alignment with financial objectives, actuarial assumptions, regulatory requirements, and organizational strategy.
  • Our ideal candidate will have the following experience:
    • Experience with contract financial forecasts or spend
    • Excellent communication skills
    • Knowledge of credentialing
    • Network adequacy and network management
    • Management of staff, budgets, contract negotiations, medicare and/or medicaid contract terms
  • EXPERIENCE/EDUCATION/QUALIFICATIONS
    • Bachelor's degree or equivalent experience in a related field required. Master's degree preferred.
    • Seven (7) years of experience in provider contracting, reimbursement strategy, or healthcare finance, including two (2) years leadership experience, required.
    • Experience in reimbursement methodologies, financial modeling, and healthcare regulatory requirements (Medicaid, Medicare Advantage, D-SNP, Commercial) required.
    • Experience negotiating with hospitals, physician groups, ancillary providers, and health systems required.
    • Experience collaborating with Finance, Actuarial, Legal, and Compliance departments required.
  • KNOWLEDGE/SKILLS/ABILITIES
    • Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
    • Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
    • Critical thinking - Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
    • Communication and team building - Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects.
  • PHYSICAL DEMANDS
    • Rarely
      (1 - 10% of the time)
      Occasionally
      (11 - 33% of the time)
      Frequently
      (34 - 66% of the time)
      Continually
      (67 - 100% of the time)
      LIFT (Floor to Waist: 0"-36") 0-20 Lbs
      LIFT (Knee to chest: 24"-54") 0 - 20 Lbs
      LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
      CARRY 1-handed, 0 - 20 pounds
      CARRY 2-handed, 0 - 20 pounds
      KNEEL (on knees)
      BEND FORWARD at waist
      CLIMB - STAIRS
      STAND
      WALK - LEVEL SURFACE
      ROTATE TRUNK Standing
      REACH - Upward
      PUSH (0-20 pounds force)
      PULL (0-20 pounds force)
      SIT
      ROTATE TRUNK Sitting
      REACH - Forward
      MANUAL DEXTERITY Hands/wrists
      FINGER DEXTERITY
      PINCH Fingers
      GRASP Hand/Fist
      None specified

About Samaritan Health Services

Samaritan Health Services is a not-for-profit network of hospitals, clinics and health services caring for more than 250,000 residents in the mid-Willamette Valley and central Oregon Coast. It is based in Corvallis, Oregon and has facilities in Albany, Lebanon, Newport, Lincoln City and Waldport. The health system includes five hospitals, more than 80 primary care and specialty clinics, senior living communities, and home health and hospice services. Samaritan Health Services is affiliated with the Oregon Health & Science University School of Medicine and is a partner in the OHSU Partners network. The health system is also a member of the Mayo Clinic Care Network.
Learn more about Samaritan Health Services
Size
5,500 employees
Industry
Healthcare
Founded
1970
* Ladders Estimates

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