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Corporate Functions & Operations WellCare - Operations Leadership Careers

National Ancillary Contracting - Director Job

Full Job Title: Director, National Ancillary Contracting

Job Number: 1703877

Location: Tampa, FL

Date Posted: 10-2-2017

Reports to: VP, National Contracting
Dept.: National Contracting
Location: Tampa, FL
Develops and manages ancillary contracting at the national level and any expansion areas for Medicare and Medicaid with a current medical spend of nearly $900 million. Oversees the all aspects of ancillary contracting including: vendor sourcing and RFP management, contract negotiations which include rate development, settlement negotiations, SLAs development, liquidated damage payments, vendor/provider contract setup, and data exchange and accuracy requirements. Develops and implements value based contracting approaches to further advance the company mission of aligning with high performing providers. Identifies and executes all medical expense reduction initiatives. Supports the development of company and market strategies through coordination with various areas including but not limited to the following: medical management, sales, product, quality, customer service, legal, medical economics and senior market leadership. Organizes and focuses resources on successful execution of identified strategies. Manages a team of up to five contractors with similar responsibilities.
MIINIMUM QUALIFICATIONS
Education:
A Bachelor's Degree in a related field Required
A Master's Degree in a related field Preferred
Work Experience
7 years of experience in Healthcare sector
Experience in a managed care environment strongly preferred
Required 7 years of experience in Provider/hospital/ancillary contracting, network development, financial analysis, medical economics, contract negotiations, strategic planning, market development or business management
Required 2 years of experience in Developing and implementing business strategies.
Preferred experience in complex, multistate negotiations
Ability to analyze information and covert related activities into a comprehensive work plan
Ability to perform financial analyses to formulate and communicate recommendations to market leadership, senior management and other stakeholders
Ability to drive multiple projects simultaneously with aggressive deliverables
Ability to effectively present information and respond to questions from peers and management
Ability to implement process improvements
Ability to influence internal and external constituents
Ability to work independently
Ability to lead/manage others in a matrixed environment
Demonstrated ability to deal with confidential information
Demonstrated negotiation skills
Demonstrated project management skills
Other Knowledge of provider contracting models
*LI-JL1

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Last Updated On: 12/9/2015