Director of Provider Contracting Job Denver area,Colorado USA,Management

Why should you consider a career with Colorado Access?

We are a Colorado-based company, working to improve the health of our state. We care for individuals, families, and children who receive health care under Child Health Plan Plus (CHP+) and Health First Colorado (Colorado's Medicaid Program). Our focus is driving improvements in quality, member experience, outcomes, and cost. We are a mission-driven organization whose foundation is built by our vision, supported by our values and pillared by diversity, equity and inclusion.

Find work/life balance:
We offer PTO, floating holidays, nine company paid holidays, a hybrid work environment, an Employee Assistance Program and a 401K.

Be a part of something bigger and make an impact:
We serve the underserved and most vulnerable populations in our community through access to quality and affordable health care. No matter what you do for Colorado Access, you are impacting our community and making a difference.

Sharpen your skills, learn, and grow:
We support your continued development through tuition reimbursement, leadership training, promotion opportunities, performance evaluations, employee recognition, and a language pay stipend.

What you will do:

We are looking for a DIRECTOR OF PROVIDER CONTRACTING who can help shape our vision and support our mission. Here is what the position will look like.

Department Director Responsibilities:

Develop strategic direction and oversee the management and maintenance of department deliverables striving for operational excellence (productivity, quality, SLAs, customer experience of services provided, etc.).
Builds high performing teams with vision, leadership, goals and metrics. Serves as a role model for team members; takes action and inspires team members to embrace and implement culture initiatives. Provides awareness to staff how their work impacts other departments, programs and the enterprise. Encourages collaboration and holds team members accountable for achieving outstanding results.
Responsible for all management functions including hiring, training, planning and directing work, coaching and staff development, managing and evaluating performance, recognizing and rewarding employees; corrective action procedures and practices, addressing complaints and resolving problems. Develops and manages the department budget.
Works closely with Directors across the organization to make tactical and operational decisions that advance company strategies and goals and collaborates to deliver on company-wide deliverables/requirements.
Oversees/leads departmental projects and continuous improvement initiatives; may lead cross functional teams.
Develops and implements department policies and procedures to ensure compliance with federal, state, local and company policies, rules and regulations.

Job Specific Responsibilities:

Oversees COA provider contracting function; responsible for leading the daily operations of the department and collaborating with other operational departments and functional business unit stakeholders to lead or support various provider contracting functions.
Responsible for strategy development of a high performing network in consultation with Company executive management, legal counsel, medical management staff, and others.
In collaboration with the IT department, supports and leads implementation of contracting software and client relationship management tools.
Sets strategic direction for the contracting department that aligns with organizational goals and sets continuous improvement goals aligned with NCQA requirements, HCPF requirements, and DOI standards.
Ability to successfully negotiate complex contracts with a variety of provider types, including but not limited to primary care, hospital systems…