Interim Director, Managed Care & Payer Strategy

Job Description

Warbird Consulting Partners actively seeks qualified candidates for an exciting position as Interim Director, Managed Care &  Payer Strategy for a multi-specialty medical group in the Southeast. The Interim Director, Managed Care & Payer Strategy has enterprise level responsibility for providing strategic and operational leadership in the development and execution of all types of payer contracting programs and provider partnership strategies for all lines of business (including commercial, senior, fee for service and value based). This role serves as the face of the system to all payers and their partners. The role will lead a cross functional teams that have substantial impact on quality, revenue and growth across all business units. 

Duties and Responsibilities:

• Lead the day-to-day management of managed care contract portfolio and negoations with commercial payers. 
• Ensures achievement of net revenue targets through contract negotiations with Commercial HMO/PPO payers, Medicare Advantage Plans and other purchasers.
• Supports business unit-specific and medical group-specific payer contract needs, such as Center of Excellence contracting for tertiary programs, physician relations for program development, and major "wholesale" payer relationships.
• Applies financial and analytic acumen to work in order to achieve outcomes.
• Supports physician network development and joint venture development through planning and payer contract support.
• In conjunction with peer executives, service line directors and finance prepare operating and capital budgets to ensure that the appropriate resources are allocated and invested to meet the health service delivery needs for assigned business unit.
• Leads, consistent with management system, the development of key performance indicators, reporting of such and the development of management systems to ensure achievement of such KPIs for business units.
• Responsible for ensuring that established financial and quality goals are achieved
• Provides the leadership necessary to ensure the business unit is responsive to the continuing healthcare needs of the communities it serves.
• Performs other duties as assigned.

Warbird engages talent and expertise across all of our practice areas and assembles experienced teams to solve a wide range of complex, pressing accounting and finance issues. Our consultants typically have 15-25 years plus of industry experience and know firsthand the daily challenges our clients encounter. We fit our consultants’ skills to the needs of our clients to ensure a successful experience for all. If you’re ready to take on the challenge, then let us help you advance your career in consulting.

Job Requirements

Qualifications & Experience

• Master's Degree in a related field or an equivalent combination of education and experience.
• A seasoned executive with five or more years of operations experience who has demonstrated increasingly responsible experience in healthcare administration.
• Must demonstrate a track record of being an accomplished executive with health care system experience.
• Extensive strategic planning and budget formulation skills at an executive level with complex analytical and problem-solving skills.
• Must possess strong leadership skills and be an effective team builder.
• Knowledge and understanding of the driving forces in the local, state, and national healthcare markets and the ability to assess emerging trends and needs and develop plans to address such trends.
• Must be community oriented and committed to the concept of a healthy community.
• Must possess excellent written, verbal and listening communication skills and be comfortable and effective in working with all levels of management, Board, employees, physicians, the community and donors.

Warbird is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, religion, national origin, age, disability, veteran status, genetic data, religion or other legally protected status. E-Verify - Warbird participates in the Electronic Employment Eligibility Verification Program.   INDS