Senior Director, Contracting - Managed Care

Company: Providence
Location: Lubbock
Posted on: March 3, 2025

Job Description:

Description Calling All Strategic Leaders! Are you a strategic powerhouse with an unwavering passion for healthcare? Do you excel in leading complex initiatives and envisioning the future of healthcare delivery? If so, then we have an extraordinary opportunity tailored just for you! The Role: Join our dynamic team as the Senior Director of Contracting for the Texas/New Mexico Service Area. In this pivotal role, you will spearhead the Managed Care Contracting Program, guiding our organization through contract analysis, negotiation, execution, and organizational alignment. Based in the vibrant city of Lubbock, Texas, you will drive strategic initiatives and play a critical role in shaping the future of healthcare in the region. What You'll Do:

• Strategic Visionary: Articulate a clear vision for achieving outcomes, ensuring every contract and negotiation aligns with our organization's goals. You will draft, revise, track, and manage payor contracts across Covenant Health Texas Region entities and ministries.
• Master Negotiator: Lead the charge in negotiating favorable managed care rates and contractual terms for all Texas Region CHS entities, maximizing reimbursement while minimizing financial risk.
• Operational Excellence: Provide administrative oversight, management, and supervision for business units and departments within the Texas Regional area. Ensure adherence to budgetary responsibilities and strategic objectives.
• Relationship Builder: Foster and maintain positive relationships with medical groups, employees, ancillaries, and payors. Promote effective communication among CHS companies and ministries to ensure seamless operations.
• Healthcare Innovator: Develop and oversee managed care products for payors and providers, driving strategic initiatives that support regional system ministries and enhance payor reimbursement protocols.
• Influential Communicator: Periodically engage in public speaking and presentations, demonstrating your knowledge of healthcare trends, market dynamics, and strategic initiatives. What You'll Bring:
  • Educational Background: Bachelor's Degree from an accredited college/university is required. A Master's Degree in Health Care Administration or equivalent education/experience is preferred.
  • Professional Training: Training in computer applications, leadership skills, and project management.
  • Industry Experience: At least 8 years of experience in the healthcare field, specifically in health insurance marketing claims and contract negotiation.
  • Healthcare Knowledge: In-depth knowledge of current health care trends, health insurance, reimbursement, and claims processing operations.
  • Communication Skills: Exceptional verbal and written communication skills, as well as strong public speaking abilities.
  • Technical Proficiency: Strong computer skills, including proficiency in Excel, word processing, graphics, accounting, and database management.
  • Analytical Skills: Strong analytical skills to assess complex data and make informed decisions.
  • Driving Requirements: Driving may be necessary as part of this role, and caregivers are required to comply with all state laws and requirements for driving. Proof of driver license and auto insurance may be required.
  • Flexibility: Willingness to work evenings and weekends as needed to meet organizational demands. Why Join Us?
    • Impactful Work: Be part of an organization that is revolutionizing healthcare and making a positive impact on countless lives.
    • Innovative Environment: Enjoy the autonomy and support to bring your visionary ideas to life in a fast-paced, ever-evolving industry.
    • Collaborative Culture: Work with a team of talented and dedicated professionals who share your passion for healthcare and excellence.
    • Vibrant Community: Embrace the charm and cultural vibrancy of Lubbock, Texas, while contributing to the betterment of healthcare delivery in the region. Ready to Shape the Future of Healthcare? If you are a visionary leader with a passion for healthcare, we encourage you to apply! Join our team and help us create a healthier future for all. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. About the Team Since 1918, Covenant has been driven by a mission of providing a Christian ministry of healing and caring for the whole person through our integrated health network in West Texas/eastern New Mexico. As an expression of our mission, we believe we hold an important Covenant with our patients and try and treat every interaction as Sacred Encounters. Our award-winning and comprehensive medical centers are located in the cities of Lubbock, Levelland, Plainview and Hobbs. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, outreach programs, hospice and home care, and even schools for nursing and radiography. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 342520 Company: Covenant Jobs Job Category: Contracting Job Function: Legal/Compliance/Risk Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 8000 PAYOR CONTRACTING TX REGION Address: TX Lubbock 3615 19th St Work Location: Covenant Medical Center Workplace Type: On-site Pay Range: $62.84 - $100.47 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.Required
      Preferred

      Job Industries

      • Other

Keywords: Providence, Lubbock , Senior Director, Contracting - Managed Care, Accounting, Auditing , Lubbock, Texas