Senior Director, Contracting

Inland Empire Health Plan
  • Rancho Cucamonga, CA
    30+ days ago

    Job Description

    What you can expect!

    Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!

    Reporting to the Vice President of Contracting, the Sr. Director provides strategic leadership and operational oversight of Provider Contracting. The Sr. Director leads complex contract negotiations and ensures all contracting activities align with regulatory requirements and organizational priorities. This position collaborates closely with multiple departments across the organization to build and maintain a network that supports IEHP's growth, financial sustainability and operational excellence.

    Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

    Perks

    IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

    • Competitive salary
    • State of the art fitness center on-site
    • Medical Insurance with Dental and Vision
    • Life, short-term, and long-term disability options
    • Career advancement opportunities and professional development
    • Wellness programs that promote a healthy work-life balance
    • Flexible Spending Account - Health Care/Childcare
    • CalPERS retirement
    • 457(b) option with a contribution match
    • Paid life insurance for employees
    • Pet care insurance

    Education & Requirements

    • A minimum of 7 years' progressive experience in network contracting and at least 5 years of leadership experience
    • Experience with various managed care compensation methodologies related to Medicaid, Medicare and Marketplace government-sponsored programs
    • Bachelor's degree in a related field from an accredited institution required
    • Master's degree in a related field from an accredited institution preferred

    Key Qualifications

    • Valid California Driver's License preferred
    • Extensive knowledge of network development, managed care delivery systems, and health plan operations
    • Deep understanding of contracting structures, alternative payment methodologies, risk‑based arrangements, regulatory requirements, contract performance evaluation, and reimbursement methodologies
    • Exceptional analytical, strategic planning, and problem‑solving skills, with the ability to lead complex initiatives and make informed decisions
    • Strong leadership capabilities with demonstrated success managing teams, developing talent, and driving cross‑functional collaboration
    • Outstanding communication, negotiation, relationship‑building, and organizational skills
    • Cultivate and sustain high impact, collaborative relationships with providers and key stakeholders
    • Strategically manage complex, competing priorities and deliver results under tight deadlines
    • Shape, lead, and execute enterprise level provider contracting and network development strategies

    Start your journey towards a thriving future with IEHP and apply TODAY!

    Numbers & Facts

    LocationRancho Cucamonga, CA

    Skills

    • Analysis Skillsunmatched
    • Animal Careunmatched
    • California Public Employees Retirement System (CalPERS)unmatched
    • Childcareunmatched
    • Compensation Managementunmatched
    • Consumer Assessment of Healthcare Providers and Systems (CAHPS)unmatched
    • Contract Analysisunmatched
    • Contract Negotiationunmatched
    • Delivery Managementunmatched
    • Dental Insuranceunmatched
    • Driver's Licenseunmatched
    • Financial Operationsunmatched
    • Fitnessunmatched
    • Flexible Spending Accountsunmatched
    • Government Fundingunmatched
    • Health Insuranceunmatched
    • Health Planunmatched
    • Healthcareunmatched
    • Healthcare Effectiveness Data and Information Set (HEDIS)unmatched
    • Healthcare Providersunmatched
    • Insuranceunmatched
    • Leadershipunmatched
    • Life Insuranceunmatched
    • Managed Careunmatched
    • Management Strategyunmatched
    • Medicaidunmatched
    • Medicareunmatched
    • National Committee for Quality Assurance (NCQA)unmatched
    • Negotiation Skillsunmatched
    • Network Administration/Managementunmatched
    • Operational Strategyunmatched
    • Operations Planningunmatched
    • Organizational Skillsunmatched
    • Performance Analysisunmatched
    • Performance Reviewsunmatched
    • Problem Solving Skillsunmatched
    • Provider Contractingunmatched
    • Regulatory Requirementsunmatched
    • Reimbursementunmatched
    • Riskunmatched
    • Strategic Planningunmatched
    • Sustainabilityunmatched
    • Talent Managementunmatched
    • Team Lead/Managerunmatched
    • Team Playerunmatched
    • Time Managementunmatched

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