Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. The Director of Payer Contracting - Ambulatory, Transplant, and Ancillary Services leads national payer contracting and network growth for ASCs, Transplant and Gene Therapy programs and Ancillary Services. In this position, you will partner with cross functional teams including pricing, managed care, operations, analytics, finance, joint venture and physician partners and clinical leadership to align contracts with financial goals and care delivery models. This candidate will drive value-based payment initiatives, oversee payer relationships, ensure compliance and lead a high performing contracting team. **A caregiver in this role works** **remotely** **from 8:00 a.m. - 5:00 p.m.** **_Candidates for this position are preferred to reside in Ohio, Nevada, or Florida._** A caregiver who excels in this role will: + Partner with internal stakeholders and joint venture partners to identify growth opportunities and expand the clinically integrated network. + Lead the development of business plans and product strategies to support population health, risk capture, ASC, Transplant, Gene Therapy and Ancillary Service expansion. + Seek new market opportunities in OH, FL, NV and elsewhere to expand payer and provider relationships through innovative contracting solutions. + Ensure contract operationalization in partnership with revenue cycle, finance, joint venture teams and clinical institutes. + Develop tools and workflows for efficient contract modeling, performance tracking and implementation. + Manage the communication and approval process for new and renew contracts, including reporting to Sr. Director - Payer Contracting, Executive Leadership and Joint Venture Boards. + Cultivate and maintain strong payer relationships to facilitate favorable negotiations and long-term partnership success. + Communicate complex contractual elements and ensure alignment with internal revenue cycle and clinical operations. + Identify and escalate payer issues with appropriate internal stakeholders. + Lead the ASC, Transplant, Gene Therapy and Ancillary Contracting team, ensuring appropriate delegation of responsibilities, resource utilization and adherence to policies. + Provide leadership coaching, mentoring, guidance and support for team development and performance. + Monitor compliance with contract terms, government regulations and CCF organizational standards. Minimum qualifications for the ideal future caregiver include: + Bachelor's degree in healthcare administration, Business, Finance or a related field and ten years of healthcare payer contracting, including ASC's, transplants, ancillary services, or multi-specialty practice settings + Seven years of leadership or management role within a healthcare system or contracting department + Deep understanding of healthcare payer markets, reimbursement models, provider network structures, joint venture and physician partner relationships + Strong negotiation, relationship management and conflict resolution skills. + Excellent analytical and financial modeling capabilities + Proficient with Microsoft Office and contract management software Preferred qualifications for the ideal future caregiver include: + Master's degree + Ten years proven track record in healthcare strategic planning, managed care negotiations and business development + Seven years of experience with contract modeling, value-based reimbursement and population health strategies. + Two years of experience with joint venture and/or physician partners regarding managed care contracting + Mentor/coaching experience Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/ **Physical Requirements:** + Ability to communicate and exchange accurate information. + Ability to perform work in a stationary position for extended periods. + Ability to work with physical records or operate a computer or other office equipment. + In some locations, ability to travel throughout the hospital system. + In some locations ability to move up to 25 lbs. **Personal Protective Equipment:** + Follow standard precautions using personal protective equipment as required. **Pay Range** Minimum hourly: $69.21 Maximum hourly: $110.73 The pay range displayed on this job posting reflects the anticipated range for new hires. While the pay range is displayed as an hourly rate, Cleveland Clinic recruiters will clarify whether the compensation is hourly or salary. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision and retirement. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities