Provider Contracting Director jobs in Bergenfield, NJ

Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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SVP, Physician Contracting and Compensation
  • Hackensack Meridian Health
  • Hackensack, NJ FULL_TIME
  • Job ID: 2023-137204 Department: Corporate Physician Admin Site: HMH Hospitals Corporation Job Location: US-NJ-Edison Position Type: Full Time with Benefits Standard Hours Per Week: 40 Shift: Day Shift Hours: 8:30 a.m. - 5:00 p.m. Weekend Work: No Weekends Required On Call Work: No On-Call Required Holiday Work: No Holidays Required

    Overview

    Our team members are the heart of what makes us better.

    At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

    Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

    A combined position focused on leading provider contracting, compensation, and on-boarding for Physician Enterprise, including the acquisition of new medical practices. Ensures that provider contracts are developed, renewed, and administered timely, conform to established policy, are consistent with business needs, and compliant with the principles of commercial reasonableness and fair market value. Works with key stakeholders to support strategic workforce plans and provider compensation arrangements that attract and retain the best talent while driving favorable strategic, operating and financial results. Reports directly to the EVP & Pres Physician Services with a dotted line to the Chief Physician Officer.

    Responsibilities

    A day in the life of a SVP, Contracting and Compensation at Hackensack Meridian Health includes:

    • Physician Contracting
      • SVP will be responsible for the central coordination of contracting activities among physician enterprise leadership and key stakeholders.
      • Partners with Business Development team to establish and facilitate relationships between primary and specialty care physicians, physician organizations, surgeons and other physicians for HMH's service lines.
      • Works jointly with the Legal and Compliance Department to assure compliance with physician contracting policies, including fair market value and commercial reasonableness. Develops analyses, summaries and other materials needed to facilitate required approvals.
      • Accountable for development of appropriate business plans and term conditions for employed physicians & physician practice acquisitions.
      • Ensures information flow to and from the PE on contracting, provider compensation and physician onboarding. Explores and researches new avenues to improve physician satisfaction.
      • Leads the development, implementation, assessment, and continuous improvement for provider onboarding across all business lines.
      • Leads the Physician Contracting team on all aspects of contract due diligence and negotiation related to physician practices and partnership acquisition.
      • Develops tools, processes, and policies to improve the cycle time for completing transactions and in a manner that is compliant with regulations and system policies.
      • Leads in the execution of timely provider agreements and renewals according to relevant policies and procedures and in compliance with all pertinent regulatory requirements.
    • Provider Compensation
      • Lead, develop and manage provider compensation programs, ensuring pay programs that align with the market, business objectives and compliance.
      • Monitor and analyze trends and issues related to provider compensation within the organization and the external market to ensure competitive practices in order to attract and retain key talent.
      • Partners with SVP, COO, Physician Services division on budget performance.
    • PE Chief of Staff
      • Drive collaboration and communication with executives in decision-making, program management, and initiative implementation.
      • Serving as the liaison to assure that all matters are communicated and reported appropriately, internally and externally to the Physician Enterprise division.
      • Understanding organizational policies and procedures necessary to ensure appropriate decision-making protocols are followed.
      • Analyzing and interpreting metrics and developing recommendations to improve processes / performance.
      • Acting as the EVP, President's representative and ambassador to external constituents as directed.
      • Tracking, monitoring, and following of the progress of projects, action items, and strategies that emanate from the EVP, President, and Chief Physician Executive.
      • Initiating subsequent follow-up meetings and communication for key stakeholders, as directed.
      • Oversee strategic business initiatives from development through successful execution under the guidance of leadership and departmental heads.
      • Lead executive team members in determining and prioritizing business strategies.
    • Other duties and/or projects as assigned.
    • Adheres to HMH Organizational competencies and standards of behavior.

    Qualifications

    Education, Knowledge, Skills and Abilities Required:

    • MBA, or Master's degree
    • Minimum of 10 years of experience negotiating physician contracts
    • Strong expertise/knowledge of legal constraints, risk management, due diligence process, financial options, etc.
    • Strong capability in strategy development, including meaningful analytical tools and methodologies; ability to develop analytically rigorous, commercially sound new business recommendations and articulate clear and compelling business discernments
    • Ability to develop strong affinity with physicians and practices
    • Strong Negotiation Experience
    • Strong EQ
    • Strong written and verbal communication skills
    • Strong Financial Management skills
    • Strong Analytical Experience
    • Legal Background - Experience with Contracts
    • Strong expertise/knowledge of legal constraints, risk management, due diligence process, financial options, etc.
    • Highly analytical and sharp problem solver
    • Experience and ease working in matrixed environments
    • Creative thinker - continuously able to question the status quo and improve
    • Ability to influence and motivate change in the team/organization
    • Excellent written and verbal communication skills.
    • Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

    Education, Knowledge, Skills and Abilities Preferred:

    • Management consulting and Corporate strategy experience a plus

    If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

  • 9 Days Ago

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CHILDCARE PROVIDER
  • Synergy HomeCare 1
  • Teaneck, NJ FULL_TIME
  • Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms, in their own homes. A...
  • 16 Days Ago

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Advanced Clin Provider, PA
  • Hackensack Meridian Health
  • Hackensack, NJ FULL_TIME
  • Under the direction and supervision of the Surgical Intensivist, the Advanced Clin Provider, PA manages a variety of patients in the critical care and intermediate care setting. This position serves a...
  • 12 Days Ago

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Advanced Clin Provider, PA
  • HACKENSACK UNIV. MEDICAL GROUP
  • Hackensack, NJ FULL_TIME
  • Under the direction and supervision of the Surgical Intensivist, the Advanced Clin Provider, PA manages a variety of patients in the critical care and intermediate care setting. This position serves a...
  • 3 Days Ago

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Respite Direct Support Provider
  • Neuropath Healthcare Solutions
  • Cliffside Park, NJ FULL_TIME
  • Who we are: Neuropath Behavioral Healthcare provides Comprehensive Youth and Family Support Services to primary caregivers of children and teens with Developmental and Intellectual Disabilities. Servi...
  • 17 Days Ago

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Youth Direct Support Provider
  • Neuropath Healthcare Solutions
  • Lodi, NJ FULL_TIME
  • Who we are: Neuropath Behavioral Healthcare provides Comprehensive Youth and Family Support Services to primary caregivers of children and teens with Developmental and Intellectual Disabilities. Servi...
  • 18 Days Ago

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0 Provider Contracting Director jobs found in Bergenfield, NJ area

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CUNY Administrative Assistant Level 1 (Provisional) - Restorative Dentistry
  • City University of New York
  • Brooklyn, NY
  • CUNY Administrative Assistant Level 1 (Provisional) - Restorative Dentistry Job ID 27915 Location NYC College of Technol...
  • 3/18/2024 12:00:00 AM

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Childcare Provider (WA)
  • The Edge Fitness Clubs
  • Township Of Washington, NJ
  • Do you like kids? Do you like high energy activities? Then you'll love being an Edge Kid's Coach! Our Edge Kids Programm...
  • 3/18/2024 12:00:00 AM

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ABA Service Provider
  • Achieve Beyond
  • Yonkers, NY
  • ABA Service Provider Apply Now! Back to search Location: Yonkers, NY Department: ABA Services Posted: 02/29/2024 Locatio...
  • 3/18/2024 12:00:00 AM

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ABA Service Provider
  • Achieve Beyond
  • White Plains, NY
  • ABA Service Provider Apply Now! Back to search Location: White Plains, NY Department: ABA Services Posted: 02/29/2024 Lo...
  • 3/18/2024 12:00:00 AM

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Provisional Maintainer, Facility Operations, New York Aquarium
  • Wildlife Conservation Society
  • New York, NY
  • Job Description About Wildlife Conservation Society (WCS): WCS stands for wildlife and wild places. As the world's premi...
  • 3/17/2024 12:00:00 AM

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WAIVER SERVICE PROVIDER
  • CHDFS Inc
  • New York, NY
  • Job Description Job Description ABOUT US CHDFS, Inc. (The Center for Human Development and Family Services, Inc.) is a 5...
  • 3/15/2024 12:00:00 AM

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Child Care Provider
  • FRESH START CHILD CARE INC
  • New York, NY
  • Job Description Job Description Provider Duties and Responsibilities Monitor Children, Assist with Personal Tasks, Maint...
  • 3/15/2024 12:00:00 AM

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Youth Care Provider
  • Quality Healthcare Staffing
  • New York, NY
  • Job Description Job Description Job Description: Quality Healthcare Staffing is in search of individuals with a backgrou...
  • 3/15/2024 12:00:00 AM

Bergenfield is a borough in Bergen County, New Jersey, United States. As of the 2010 United States Census, the borough's population was 26,764, reflecting an increase of 517 (+2.0%) from the 26,247 counted in the 2000 Census, which had in turn increased by 1,789 (+7.3%) from the 24,458 counted in the 1990 Census. Bergenfield was formed on the basis of a referendum held on June 25, 1894, from portions of Englewood Township and Palisades Township.[21][22][23] The borough was formed during the "Boroughitis" phenomenon then sweeping through Bergen County, in which 26 boroughs were formed in the co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$198,287 to $286,380
Bergenfield, New Jersey area prices
were up 1.5% from a year ago

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