Director of Hospital Contracting & Relationships

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Full Time Doral, FL, US

16 days ago Requisition

Salary Range: $ To $ Annually

The Director of Hospital Contracting & Relationships is responsible for developing, negotiating, and managing Solis Health Plans' strategic hospital partnerships. This position serves as the executive liaison to contracted hospitals, leads all hospital contracting activities, facilitates Joint Operating Committees (JOCs), and ensures contractual relationships support organizational objectives related to quality, access, operational performance, and financial stewardship.
The Director works collaboratively with the Director of Payment Integrity, who provides financial analysis, payment integrity oversight, reimbursement validation, and contract performance reporting. Together, these roles create a balanced approach that combines data-driven decision making with executive relationship management.
This position is fully onsite, Monday – Friday.

To perform this job, an individual must perform each essential function satisfactorily, with or without reasonable accommodation, including, but not limited to:

• Lead negotiations for new, renewed, and amended hospital agreements.
• Develop contracting strategies aligned with organizational growth and financial objectives.
• Coordinate contract renewals, amendments, and implementation.
• Partner with Finance, Legal, Network Development, Operations, and Executive Leadership during negotiations.
• Recommend reimbursement and value-based contracting strategies.

• Serve as the executive relationship manager for contracted hospitals.
• Develop and maintain strong partnerships with hospital executives.
• Resolve escalated operational issues collaboratively.
• Represent Solis during executive meetings and strategic initiatives.
• Establish and chair recurring Joint Operating Committees.
• Develop structured agendas and performance reviews.
• Coordinate participation across Finance, Clinical, IT, Compliance, Operations, and Provider Network.
• Track action items and ensure accountability.

• Monitor operational, quality, utilization, and service performance.
• Partner with the Director of Payment Integrity to review financial performance and reimbursement trends.
• Identify opportunities for operational improvement and contract optimization.

• Coordinate enterprise initiatives involving hospital partners.
• Support new market expansion and hospital onboarding.
• Ensure operational alignment following contract execution.

May supervise Contract Managers, Provider Relations staff, or Hospital Relationship Managers as the function expands. Provides leadership, coaching, prioritization, and performance oversight.

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or related field.
• 8-10+ years of experience in managed care, provider contracting, hospital administration, or network management.
• Demonstrated experience negotiating complex hospital agreements.
• Strong understanding of Medicare Advantage reimbursement methodologies.
• Executive-level communication, negotiation, and relationship management skills.

• MBA, MHA, JD, or related advanced degree.
• Experience with value-based reimbursement models.
• Experience facilitating executive governance committees or JOCs.
• Working knowledge of payment integrity and healthcare financial analytics.

• Executive Relationship Management
• Hospital Contract Negotiation
• Strategic Thinking
• Operational Excellence
• Cross-Functional Leadership
• Executive Communication
• Project Management
• Problem Solving & Decision Making
• Accountability & Execution

The work environment and physical demands are consistent with Solis Health Plans' standard Director-level job descriptions. This position requires regular…