Hybrid Senior Director, Healthcare Procurement – Contract Strategy

at UNITE HERE HEALTH

• Job title: Senior Director, Healthcare Procurement – Contract Strategy
• Job type: Full Time
• Experience level: Senior
• Salary: $153,600 - $195,900 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Oak Brook, United States

About the role

• Senior Director overseeing managed care contracting and vendor administration for Aurora-based Plans Units. Collaborating with executive leadership to achieve strategic goals in healthcare procurement.

Responsibilities

• Responsible for the strategic direction, planning, and management of managed care vendor contracting and monitoring
• Keeps informed on, negotiates and implements new strategies for innovative managed-care vendor and provider contracting such as direct contracting, risk sharing, narrow networks, and bundled payments, as well as unique contracting methodologies, such as contracts with providers at Health Centers and value-based contracting
• Employs consultants strategically and engages with experts in the field in order to identify opportunities
• Oversees the MCVA staff for the Aurora-based Plans Units as they administer, coordinate, negotiate, execute, implement and monitor all managed-care vendor contracts
• Helps analyze contract performance from utilization, financial, operational and member service standpoints for the Aurora-based Plan Units and collaborates with the Las Vegas-based Hospitality Plan on their activities
• Analyzes problems, identifies, and develops alternative solutions, projects consequences of proposed actions, and implements recommendation/solutions
• Supervises, leads, and delegates work and coaches, mentors, and develops employees
• Recommends hires and promotions, directs, and evaluates employment decisions for all assigned positions
• Assists with developing and coordinating policies and procedures
• Oversees continued employee training requirements, safety, and quality initiatives
• Demonstrates the Fund’s Diversity and Inclusion (D&I) principles in their conduct with employees; partners with Healthcare Delivery & MCVA leadership and staff to create a safe and inclusive culture with equitable opportunities for success and career growth.

Requirements

• 10 – 12 years or more of experience in a healthcare, managed care, or insurance organization
• Excellent understanding of, and experience in leading, contracting efforts of the full range of managed care and healthcare approaches, including innovative models such as risk-sharing arrangements and capitation, as well as more unique and/or direct-provider arrangements
• Working knowledge of current legislative requirements under ACA, COBRA, HIPAA, DOL, etc. as related to health benefits, eligibility, payment, appeals, etc.
• Strong data and financial analysis acumen and experience
• Strong report writing and presentation experience
• Demonstrated strong leadership and interpersonal skills to lead others to achieve results in a team-oriented environment
• Knowledge of and experience working with union, Taft-Hartley Trust Funds or mission-driven non-profit organizations are a plus
• Bachelor's degree in Business, Healthcare Administration, related field or equivalent work experience required (master’s degree preferred)
• 15% ~ 25% travel required based on business needs and location relative to MCVA staff

Benefits

• Medical
• Dental
• Vision
• Paid Time-Off (PTO)
• Paid Holidays
• 401(k)
• Short- & Long-term Disability
• Life
• AD&D
• Flexible Spending Accounts (healthcare & dependent care)
• Pension
• Commuter Transit
• Tuition Assistance
• Employee Assistance Program (EAP)