Option Care Health
Location
Harrisburg, PA | United States
Job description
Extraordinary Careers. Endless Possibilities.
With the nation’s largest home infusion provider, there is no limit to the growth of your career.
Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and employees.
As a proud recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is supporting and building a workforce that is as diverse as the patients and communities we serve.
Join a company that is taking action to develop a culture that is more inclusive, respectful, engaging and rewarding for all team members. We are committed to hiring, developing, and retaining a diverse workforce.
Job Description Summary:
The Director of Contracting is responsible for leading the entire contracting process from negotiation to execution with targeted accounts. This role is expected to be the lead negotiator with major National and Regional payers. The Contracting Director will also be responsible for managing relationships, strategy, and contracts with accounts in the defined area that manage fewer than 250K lives. The Contracting Director will coordinate directly with their Market Access, Contracting Performance, Sales, and Operations colleagues to ensure there are no barriers to access for patients. This role is also expected to lead the collaboration with Revenue Cycle Management to ensure billing requirements are contracted appropriately and timely resolutions are achieved with outstanding Accounts Receivable. This role has direct supervisory experience for Contract Managers.
Job Description:
Job Responsibilities
Leads the Contracting Process and acts as Lead Negotiator for all Targeted Accounts within the defined area. This includes collaborating cross functionally with Market Access and Finance colleagues to develop, analyze and implement strategic account plans that maximize account profitability, collaborating with Finance to incorporate impact of strategies and pricing decisions into financial forecasts, and utilizing specific account knowledge and understanding of contractual terms and actual performance to assist Market Access partners in developing and enhancing account strategies, pricing, and contract language.
Develop the strategy for comprehensive, multi-year contracting to result in expanded coverage decisions and access to Option Care services from Accounts with less that 250K lives within the defined area, including potential forward progress in value-based initiatives and clinical effectiveness with payers.
Participate in the development and presentation of strategic business reviews at least quarterly with Key Accounts, including the development of the priority objectives (strategy), gathering marketing materials & data to support the priority objectives, and aligning how OCH objectives support the account’s objectives. Leads the development and presentation of strategic business reviews for accounts with <250K lives.
Ensures that Manager(s) and Analyst(s) supporting their assigned accounts understand the systems, operational processes and product pricing strategies for each respective customer segment to facilitate the development of effective proposals and contracts.
Leads the review and approval process for specific account proposals. Ensures account proposals, models and pricing are accurate and completed in accordance with defined service levels to meet internal and external customer timelines.
Develops proposals that comply with Divisional goals and objective as well as Corporate policies and procedures. Provides direction on the methodology and approach to evaluate proposals. Ensures that the analytical framework for proposal development is consistent with company standards and ensures that action-oriented data is available for decision makers.
Ensures that contract terms and conditions reflect pricing parameters of approved account proposals. Consults with legal as needed to draft specific contract language that meets business objectives.
Acts as the subject matter expert on departmental data, business metrics and operational processes
Supervisory Responsibilities
Does this position have supervisory responsibilities? Yes
(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)
Basic Education and/or Experience Requirements
Basic Qualifications
Experience evaluating information to determine compliance with standards, laws, and regulations.
Experience collaborating with internal and resources to develop strategies that meet department goals within budget and established timelines.
Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates.
Travel Requirements: (if required)
Preferred Qualifications & Interests (PQIs)
Due to some state pay transparency laws, below is the minimum pay for the position:
Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.
Minimum pay is $112,750.31 Benefits:
-401k
-Dental Insurance
-Disability Insurance
-Health Insurance
-Life Insurance
-Paid Time off
-Vision Insurance
Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.
For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.
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