Operations Director, Independent Provider Association

Company Overview

Greater New York Hospital Association (GNYHA) is a trade association located in New York City representing more than 200 hospitals, health systems, and continuing care facilities in New York State, New Jersey, Connecticut, and Rhode Island.

GNYHA is a dynamic, constantly evolving center for health care advocacy and expertise, but our core mission—helping hospitals deliver the finest patient care in the most cost‑effective way—never changes. GNYHA’s advocacy takes many forms, from representing our members’ interest at the Federal and State governments to working alongside them to improve quality and patient safety.

The Operations Director of the GNYHA Skilled Nursing Facility (SNF) Independent Provider Association (IPA) will lead the operational, strategic, and financial development of a clinically integrated network (CIN) of nonprofit SNFs in downstate New York. Reporting to the Executive Vice President, GNYHA and IPA Board, the Director will combine health policy expertise, managed care strategy, and post‑acute operations to advance quality improvement and data‑driven care coordination initiatives.

The Director also must demonstrate exceptional relationship management with hospitals, managed care organizations (MCOs), state agencies, and continuing care members, ensuring the IPA functions as a contracting vehicle and a platform for clinical and financial performance improvement.

The Director should possess a strong understanding of Medicaid and Medicare payment systems, contracting, CIN design and health system integration. The Director must translate complex regulatory and financial frameworks into actionable strategies that improve outcomes and strengthen member facility performance.

• Strategic Leadership
  • Develop and execute the IPA’s strategic plan, aligning continuing care members around shared objectives in managed care contracting, care management, and quality performance
  • Serve as the primary liaison between the IPA, GNYHA leadership, vendors, member facilities, and external stakeholders including DOH, CMS, and payers
  • Lead negotiation strategy and contract modeling for managed care and risk‑bearing arrangements, including delegated care management and quality incentive programs
  • Oversee governance activities, ensuring compliance with federal and state IPA/CIN regulations and adherence to antitrust and data‑sharing protocols
• Operational Oversight
  • Build and manage the IPA’s administrative infrastructure, including membership relations, financial reporting, and contracting operations
  • Develop standardized clinical, financial, and quality metrics to support value‑based arrangements and shared savings models
  • Establish and coordinate working groups and committees (Clinical Integration, Finance, Data Analytics, and Quality & Compliance)
  • Manage vendor relationships for data analytics, care coordination, and workflow intelligence platforms
• Financial & Analytical Management
  • Develop and manage the IPA’s annual operating budget
  • Supervise payer data analysis, rate benchmarking, and actuarial modeling to identify opportunities for collective financial improvement
  • Support the creation of facility‑level impact analyses and modeling for new initiatives
• Policy & Regulatory Affairs
  • Collaborate with GNYHA’s Health Economics and Finance team to provide technical guidance and education to IPA members on rate‑setting updates, acuity scoring, and documentation practices that drive payment accuracy under both Medicaid and Medicare systems

• Master’s degree in health administration, public policy, business, or a related field
• At least 6 years of progressive experience in healthcare management, managed care contracting, or post‑acute operations
• Excellent communication, coalition‑building, and stakeholder management skills
• Deep knowledge of New York State Medicaid financing, Medicare Advantage, and SNF reimbursement methodologies
• Strong financial modeling and analytic capability, including comfort working with rate models and utilization data
• Proven track record of establishing strong relationships with hospital and SNF leadership, including C‑suite executives