Senior Director, Managed Care Contracting and Payor Relations
Company: ChristianaCare
Location: Wilmington
Posted on: June 29, 2025
|
|
|
Job Description:
At ChristianaCare, we serve as our neighbors as respectful,
expert, caring partners in their health. We do this by creating
innovative, effective, affordable systems of care that our
neighbors value. Are you an innovative individual seeking a
position responsible for developing and implementing a value
based/risk strategy that introduces and delivers new reimbursement
models across all lines of business units, service lines, and
market segments? If you possess this desire and a background in
contracting with Provider and Payor experience this is the
opportunity you have been seeking! ChristianaCare seeks Senior
Directors, Managed Care Contracting and Payor Relations to join our
Enterprise Contracting and Payor Relations team these individuals
will negotiate with and form an integrated healthcare delivery
system for traditional fee for service and value based and risk
contracting. PLEASE NOTE - We are looking for a local candidate who
can be on-site at least 2 days per week. Please only apply if you
are local or willing to relocate. The successful candidate is
responsible for: Leading negotiations for new and renewal of major
payer contractual agreements within a portfolio of private and
public sector third-party payors Supports the VP, Enterprise
Contracting & Payor Relations in the development of a spectrum of
value-based programs and/or alternative payment models across
entities within the organization – CCHS, CCHI, CIN, Union, DCMFM,
CCVNA, etc. Identifies revenue improvement opportunities and
prepares recommendations for profitability optimization in
conjunction with and operational issues within third-party
agreements Develops and maintains good working relationships with
major third-party payors and CCHS senior administrative and
clinical leadership Collaborates across the organization including,
but not limited to, finance, legal, population health management,
clinical operations Education and experience requirements:
Bachelor's degree in Business Administration, Healthcare
Administration or Finance from an accredited university. Minimum of
ten (10)years of contracting experience with a Provider or Payor
Experience negotiating with or for private/public sector third
party payers for traditional fee for service and value based and
risk contracting Healthcare insurance product and regulatory
knowledge within ACA, Commercial, Medicare, Medicare Advantage and
State Medicaid programs ChristianaCare Benefits Incredible
Work/Life benefits including annual membership to care.com, access
to backup care services for dependents through Care@Work,
retirement planning services, financial coaching, fitness and
wellness reimbursement, and phenomenal discounts through several
vendors for hotels, rental cars, theme parks, shows, sporting
events, movie tickets, etc. We also provide tuition assistance for
degreed programs. Our medical/dental/vision benefits are available
to our caregivers on their first day of employment! And we offer
two different mechanisms toward planning for your retirement, a
403(b) and a defined contribution plan. ChristianaCare is one of
the country’s most multidimensional health systems, centered on
improving health outcomes, making high-quality care more accessible
and lowering health care costs. Christiana Care includes an
extensive network of outpatient services, home health care, medical
aid units, three hospitals (1,300 beds), a Level I trauma center
and regional centers of excellence in heart and vascular care,
cancer care and women’s health. Working for Christiana Care offers
the best of urban and suburban living with multiple housing
options, excellent restaurants and entertainment venues, quality
schools and a short driving distance to popular Delaware and New
Jersey beaches. The location provides easy access to Washington,
DC, Philadelphia and New York City – all within a short drive or
train ride from Newark, DE. LI-CO1
Keywords: ChristianaCare, Bel Air South , Senior Director, Managed Care Contracting and Payor Relations, Healthcare , Wilmington, Maryland
