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EXECUTIVE DIRECTOR, STRATEGIC CONTRACTING - 10034158
Anywhere, USACity of Hope is an independent biomedical research and treatment center for cancer, diabetes and other life-threatening diseases.
Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope’s translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution. AccessHope™, a wholly owned subsidiary, was launched in 2019 and is dedicated to serving employers and their health care partners by providing access to City of Hope’s exceptional cancer expertise.
A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation’s “Best Hospitals” in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California and in Arizona.
Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.
The Executive Director, Strategic Contracting serves as authority for payer contracting strategy across all City of Hope entities. The Executive Director will establish system-wide network strategy across California and CAP markets, partner with internal stakeholders to ensure contract execution and enforcement, and act as a relationship leader between City of Hope and its payer partners to support relationship management, contracting, and negotiations.
As a successful candidate, you will:
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
Your qualifications should include:
Minimum Education:
Master’s degree in Business, Health, or Public Administration (MBA, MHA, MPH, MPA or related field) or Juris Doctor (JD) required.
Minimum Experience:
At least five years of experience negotiating managed care contracts
10 years of related experience
7 years of experience in management
City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.
City of Hope is an equal opportunity employer. To learn more about our commitment to diversity, equity, and inclusion, please click here.
To learn more about our Comprehensive Benefits, pleaseCLICK HERE.