Elap Services
  • Chesterbrook, PA, USA
  • Full Time

Summary

The Director of Contracting will be responsible for developing, implementing and managing all aspects of the contracting life-cycle to include negotiating direct agreements with healthcare providers on behalf of our clients.  They will work closely with our client services team to ensure that members receive quality care at reasonable costs based on a transparent rate methodology. 

DUTIES AND RESPONSIBILITIES

  • Analyze member demographics and healthcare facility usage patterns to identify service providers with whom ELAP should contract.
  • Review provider analytics including revenues, costs, charges, and historical claim information for rate proposals and negotiations
  • Develop relationships with key providers in target markets to establish provider networks 
  • Develop proposals and negotiate contract terms with healthcare service providers
  • Assist members by negotiating one-time contracts with healthcare providers.
  • Assist clients with the implementation of client-specific service provider networks.
  • Collaborate with Customer Service and other internal functions to establish cost-effective contracts.
  • Present and communicate to clients, colleagues and Senior Leadership the direct contracting team's rates, terms, and strategies

REQUIRED EXPERIENCE AND EDUCATION

  • Undergraduate degree is required.
  • Graduate degree preferred
  • Minimum of 5 years' experience within a Healthcare provider and/or payer contracts.
  • Minimum of five years' experience focused specifically on contracting and/or negotiations

SKILLS AND ABILITIES

  • Ability to thrive in a fast-paced entrepreneurial company and a fast-evolving market.
  • Proven leadership and management skills.
  • Must be familiar with Medicare and Commercial reimbursement methodologies
  • Must possess strong verbal and written communication skills.
  • Must be able to handle complex contract negotiations.
  • Must possess strong analytical and problem-solving skills.
Elap Services
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