Provide strategic leadership for the negotiation, implementation, and management of third-party payor contracts for Seattle Children's, Children's University Medical Group, Seattle Children's Primary Care Group, and Seattle Children's Care Network while demonstrating the system values of compassion, excellence, integrity, collaboration, equity, and innovation. Operationalize department strategic plans to increase access for patients while maximizing reimbursement. In collaboration with Payer Operations, respond to and manage payor issues impacting expected contract performance. Required Education and Experience + Bacheloru2019s degree in a relevant field or ten (10) years related job experience in hospital, physician group, or health plan contracting. + Minimum seven (7) years experience in hospital, physician group, or health plan contracting, handling complex contract negotiations with accountability for business results. + Minimum five (5) years experience in a leadership or management role (whether process/project or people). Required Credentials + N/A. Preferred + MHA, MBA, JD, or equivalent advanced education. + Prior experience with clinically integrated networks; experience with Accountable Care Organization (ACO), shared-risk, and value based contracting. + Prior experience in contracting for quaternary pediatric healthcare services. + Prior experience in a health plan contracting leadership role, with experience negotiating with large hospital systems. + Prior experience managing and resolving complex payor/provider issues. Compensation Range $180,884.00 - $271,326.00 per year Salary Information This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided. Disclaimer for Out of State Applicants This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors . Benefits Information Seattle Childrenu2019s offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more. Additional details on our benefits can be found on our website . About Us Hope. Care. Cure. These three simple words capture what we do at Seattle Childrenu2019s u2013 to help every child live the healthiest and most fulfilling life possible. Are you ready to engage with a mission-driven organization that is life-changing to many, and touches the hearts of all? #HOPECARECURE Our founding promise to the community is as valid today as it was over a century ago: we will care for all children in our region, regardless of the familiesu2019 ability to pay. Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho u2013 the largest region of any childrenu2019s hospital in the country. U.S. News & World Report consistently ranks Seattle Childrenu2019s among the nationu2019s best childrenu2019s hospitals. For more than a decade, Seattle Childrenu2019s has been nationally recognized in key specialty areas. We are honored to be one of the nationu2019s very best places to care for children and the top-ranked pediatric hospital in Washington and the Pacific Northwest. As a Magnet designated institution, we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational DNA takes form in our core values: Compassion, Excellence, Integrity, Collaboration, Equity and Innovation. Whether itu2019s delivering frontline care to our patients in a kind and caring manner, practicing the highest standards of quality and safety, or being relentlessly curious as we work towards eradicating childhood diseases, these values are the fabric of our culture and community. The future starts here. Our Commitment Seattle Childrenu2019s welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families. Our organization recruits, employs, trains, compensates, and promotes based on merit without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. The people who work at Seattle Childrenu2019s are members of a community that seeks to respect and celebrate all the qualities that make each of us unique. Each of us is empowered to be ourselves. Seattle Childrenu2019s is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.
Job Title
Director, Payor Contracting