DaVita Director, Contract Operations & Lifecycle Management in DENVER, Colorado

Director, Contract Operations & Lifecycle Management

Description

DaVita Medical Group manages and operates medical groups and affiliated physician networks in California, Nevada, New Mexico, Florida, Colorado and Washington in its pursuit to deliver excellent-quality health care in a dignified and compassionate manner. As of June 30, 2016 DaVita Medical Group (formerly HealthCare Partners) provided integrated care management for approximately 760,000 patients. DaVita Medical Group’s leadership development initiatives and social responsibility efforts have been recognized by Fortune, Modern Healthcare, Newsweek and WorldBlu.

We are committed to bringing the benefits of coordinated care to our patients and to taking a leading role in the transformation of the national healthcare delivery system to assure quality, access, and affordable care for all.

If you're looking to make a difference with a large, financially stable, well-recognized medical group, DaVita Medical Group may be the employer for you.

Overview:

This teammate willbe accountable for our contract operations team and overall contract life-cyclemanagement. This teammate will belargely focused on our Medicare Advantage, Commercial HMO and Managed Medicaidbooks of business.

Essential Functions:

  • Be the key architect in the redesign of our contracting operationscapability

  • Standard contracts & workflows

  • Standard processes / variance reduction

  • Contract loading, configuration, validation, audit

  • Credentialing

  • Contract Lifecycle Management IT system

  • Provider, payor and hospital communication (NOCs, etc.)

  • Provider directory and fee schedule maintenance

  • Network adequacy analytics

  • Operational support for all contracting efforts

  • Performance management, metrics, etc.

  • The ability to dramatically impact the business from Day 1

  • Manage a contracting portfolio in excess of 15K relationships – payor,provider, hospital and ancillary

  • Lead a large team across 7 markets

The Director will be part of both the National contracting team,playing a pivotal role in the overall direction of the business. The Director will join a team ofhighly motivated individuals with previous leadership experience across anarray of healthcare verticals, consulting and banking.

This positionreports to the VP, National Network & Contracting Operations, withsignificant opportunity for advancement within the contracting team, DMG andthe broader DaVita Village. Locally in Denver,this teammate will sit with a team of Contracting VPs, Directors, Managers andSpecialists.

Qualifications

Education:

  • MBA. Prefer candidates from top-rankedinstitutions.

Experience:

  • Minimum: Over 7 years and up to including 10 years of management experience

  • Preferred: Over 10 years of management experience

  • Risk experience(Medicare Advantage, Commercial HMO, Managed Medicaid)

Knowledge, Skills, and Abilities:

  • Executive presence

  • Built / designedcontracting operations processes & procedures

  • Managed a ContractLifecycle Management IT system

  • Led teams

  • Strategic mind

  • Stronganalytical, communication, management, and relationship skills

  • Ability to work ina very fast-paced, team-oriented environment

  • Desire to havefun and make a difference

DaVita Medical Group is an equal opportunity/affirmative action employer. As such, DaVita Medical Group makes hiring decisions solely on the basis of qualifications and experience, and without regard to age, race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.

We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks.

DaVita Medical Group will consider qualified applicants who have criminal histories in a manner consistent with the law.

Primary Location CO-DENVER - 80202

Req ID: 316533