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Children's Hospital Los Angeles (CHLA) · 3 weeks ago

Director, Contract & Payor Relations / Enterprise Contracting / Full-time / Days

Los Angeles, CA

Full-time, Contract

Onsite

Director/Executive

$123K/yr - $210K/yr

10+ years exp

Children’s Hospital Los Angeles (CHLA) is ranked among the top 10 pediatric hospitals in the nation, providing exceptional care for children. The Director of Contract & Payor Relations will oversee managed care policies and contract negotiations, while collaborating with various departments to enhance market share and payor relationships.

Health Care

Responsibilities

Directing and coordinating the managed care policies, goals, and objectives related to contract language, pricing and negotiation strategy, planning and execution, revenue reconciliation as applicable, and payor relationship management on behalf of CHLA, CHLA Medical Group, CHLA Health Network and their subsidiaries as applicable

Support CHLA Medical Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities to collaborate and build relationships with payors

Collaboration and communication between Enterprise Contracting and other key stakeholder departments within CHLA and CHLA Medical Group, working closely with Decision Support, Patient Financial Services, CHLA, CHLA Medical Group, CHLA Health Network and Pediatric Management Group leadership, clinical departments, HIM, CDM, Admitting and Revenue Cycle leaders

May have direct oversight of staff which may additionally include LOAs, CHLAMG coverage agreements and leases