UCI Health · 1 month ago
Executive Director of Managed Care Contracting - Health Services Contracting (HYBRID)
Orange, CA
Full-time
Hybrid
Director/Executive
8+ years expUCI Health is the clinical enterprise of the University of California, Irvine, serving a large population in Orange County and surrounding areas. The Executive Director of Managed Care Contracting will define and implement strategies for contract performance, manage a team of contracting professionals, and negotiate contracts that significantly impact the enterprise's financial performance.
Health CareHospitalMedical
No H1B
Responsibilities
Define and implement strategy and contract performance expectations for the enterprise
Manage and direct a staff of contracting professionals that negotiate and draft contracts with aggregate impact more than $1.5 billion
Suggest and implement innovative reimbursement strategies, including value-based care and bundled payment programs
Initiate participation in innovative networks/programs to optimize financial performance
Provide effective drafting, review, negotiation, execution, implementation, and evaluation of all contracts including health plan, clinical services, ancillary, and other contracts that support the Enterprise
Establish, implement and maintain contract relationships with referral medical groups, referral hospitals, health plans and other third-parties to enable patient referrals
Qualification
Required
Working knowledge of complex provider relations, credentialing activities
Thorough understanding current reimbursement methodologies and ability to distinguish the most effective method for each situation
Must demonstrate customer service skills appropriate to the job
Must be self-motivated and goal driven
Minimum of 3 years' management experience in a highly complex, diverse health care organization
Minimum 8 years' provider contracting experience in a managed care environment, including negotiation, preparation, review, administration, maintenance, and monitoring of contracts
In-depth knowledge of Medicare and MediCal policies, practices, and reimbursement strategies
In-depth knowledge and experience in managed care, value-based contracting, Medicare Advantage, capitation, narrow networks, and other innovative payment models
Extensive experience dealing with payors or providers
Evidence of sound critical thinking skills and the ability to think creatively and strategically to problem solve
Demonstrated ability to interact effectively, build trust and establish effective working relationships across the Health System and with a wide variety of audiences
Bachelor's degree in business, Finance, Healthcare or related discipline or equivalent experience
Ability to maintain a work pace appropriate to the workload
Ability to implement business plans and contracting activities to achieve objectives
Ability to critically evaluate options, tradeoffs within contracting opportunities
Preferred
Master's Degree
Benefits
Medical insurance
Sick and vacation time
Retirement savings plans
Access to a number of discounts and perks
Company
UCI Health
UCI Health offers acute and general care services specializing in treating urology, gynecology, kidney disorders, and cancer programs.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Manlin Kitty Huang Lin, MS, CPA
Director of Finance/ CFO
Nate Shinagawa MHA, FACHE
Chief Operating Officer and Senior Vice President
Recent News
Precedence Research
2025-11-27
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