Regional Director of Contract Management - Phoenix, United States - tango

tango

Verified Company

Phoenix, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

We are looking for an experienced process-oriented leader to act as our Regional Director of Contract Management.

This role will report into the Vice President of Network Management to lead, and scale, the contract management division within the network management department.

The Regional Director of Contract Management will support strategic growth and management of our home health provider network.

Responsibilities include development and execution of market expansion, value-based performance management, contract optimization initiatives and ongoing maintenance of the existing network, across multiple geographies.

Responsibilities:

Negotiate fiscally responsible, fee for service, episodic and valuebased contracts with language that supports tango's business model, payer agreements, and mission to provide high quality home health and postacute services.
Recruit, mentor, and support a team of contract managers, administrators, and analysts, fostering their growth and development in their respective roles.
Ensure provider contracts meet tango compliance policies, Medicare guidelines, State and Federal laws and regulations.
Create actionable, strategic, goals for the team, centered on improving operations, market performance, innovation, and team engagement.
Develop and report out provider contract performance metrics and indicators, and action plans to address opportunities for improvement and further network optimization.
Formulate home health recruitment strategies and execute network builds across various geographies for prospective payor clients.
Work interdepartmentally to ensure contracts are loaded accurately and in a timely manner.
Collaborate with leadership to support budgeting initiatives aimed at scaling the Provider Relations department effectively. Provide insights and recommendations to optimize resource allocation and achieve departmental goals.
Identify opportunities to optimize provider agreements.
Proactively engage, educate, and contract out of network providers, as needed, to create greater access in existing markets.
Ensure workflows between contracting and credentialing operate efficiently.
Carry out network management assignments and other duties as directed by the management team.
Other duties as assigned.

Requirements:

Bachelor's degree in Business Administration, Healthcare Management, or related field (Master's degree preferred).
Minimum 8 years of managed care contracting experience.
Minimum 5 years of management experience, including hiring, onboarding, training, and performance management.
Understanding of home health, or ancillary, CMS and valuebased reimbursement methodologies.
Comprehensive knowledge of home health's role in the postacute landscape.
Excellent communication and interpersonal skills for fostering effective partnerships internally and externally.
Strong leadership skills with demonstrated ability to motivate a team towards achievement of strategic goals.
Experience in strategic planning, organizational development, and driving results through innovation and collaboration.
Proficiency in data analysis and utilizing metrics and key performance indicators to measure opportunities for improvement.
Proven ability to build trust with partners and stakeholders and adhere to Medicare guidelines and healthcare regulations.
Proven ability to problem solve and navigate complex, high profile, contracting situations in a timely and organized manner.
Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint).
Excellent written and verbal communication and presentation skills.
Natural curiosity to learn and grow within a fastpaced organization
Willingness to travel quarterly, at a minimum.

Why Join Us:

Opportunity to make a significant impact on the transformation of home health management and patient outcomes.
Autonomy to innovate and implement strategies that drive contract performance and provider engagement.
Collaborative and supportive work environment that values continuous learning and development.
Competitive salary and benefits package.

Job Type:
Full time - Remote (Inside the US)
- tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship._