About this role

Develop payer and pricing strategy in collaboration with organizational leaders.
Evaluate the performance of each contract, determine negotiation timeline for negotiations and prioritize new contract provisions to be included in contracts.
Enhance relationships with payers.
Understand needs and future strategies of payer partners regarding products, pricing and new technology.
Identify and establish new payer relationships to support community expansion and business development.
Negotiate payer agreement financial terms and language terms to increase reimbursement and enhance patient access to City of Hope National Medical Center, City of Hope Medical Foundation and City of Hope’s clinical practice network.
Lead COH payer contracting team for the enterprise including Patient Financial Services, Revenue Cycle, Legal and outside legal counsel to resolve contract disputes or large payment issues with payers.
Collaborate with VP of Revenue Cycle on strategies for improving billing and collections with payers

Minimum Education: Master’s Degree in Business Administration, Health Administration, Public Health, or Public Administration.
Minimum Experience: At least five years of experience negotiating managed care contracts
10+ years of related experience
7 years of experience in management

Executive Director – Strategic Contracting

Key skills