Baylor Scott & White Health ยท 13 hours ago
Director Contracting and Operations
Dallas, TX
Contract
Onsite
Lead/Staff, Director/Executive
5+ years expBaylor Scott & White Health is seeking a Director of Contracting and Operations responsible for planning, developing, and implementing managed care contracts. The role includes negotiating contracts, monitoring financial performance, and ensuring compliance with managed care organizations.
FitnessHealth CareMedicalSports
Responsibilities
Directs managed care contracting and operations for BSWH
Recommends and implements strategic and operational plans and priorities for managed care contracting aligned to BSWH overall business objectives
Directs all managed care payer contracting, activities, and relationships, including payer resolution processes, contract negotiations, and contract performance
Monitors and analyzes contract volumes and profitability against expected levels of performance
Initiates operational improvements and contract modifications as needed
Manages and resolves multi-faceted issues related to contract operational performance, interpretation, and payer obligations between organization and the managed care organization
Promotes accountability of all internal and external stakeholders, and communicates and coordinates process initiatives, including communications of contracts to joint venture partners
Ensures accuracy of managed care contract rates and language maintained in managed care databases
Implements quality, process, and ongoing audit procedures and communicates findings and recommendations
Monitors application of state and federal regulations that affect contract enforcement, including Texas Prompt Pay Act, ERISA, and COBRA
Qualification
Required
Bachelor's degree in healthcare, business, or related field
5+ years of experience with managed care strategy, contracts, or related area
1+ years of experience in a leadership role
Experience in negotiation of managed care contracts
Understanding of healthcare reimbursement concepts and managed care economic models
Strong skills in negotiation, relationship building, and collaboration
Strong project management and process orientation
Excellent written, verbal, and presentation skills
EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
EXPERIENCE - 5 Years of Experience
Benefits
Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
Tuition Reimbursement
PTO accrual beginning Day 1
Company
Baylor Scott & White Health
Baylor Scott & White Health is a non-profit health care system that research about the outpatient, and emergency treatment services.
10001+ employees
H1B Sponsorship
Baylor Scott & White Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (17)
2024 (9)
2023 (6)
2022 (5)
2021 (4)
2020 (6)
Funding
Current Stage
Late StageLeadership Team
J
Jennifer Mitzner
Executive Vice President & CFO
Recent News
2025-12-09
Company data provided by crunchbase