Children's Hospital Los Angeles (CHLA)
Director, Contract & Payor Relations / Enterprise Contracting / Full-time / Days
Children's Hospital Los Angeles (CHLA), Los Angeles, California, United States, 90079
Director, Contract & Payor Relations / Enterprise Contracting / Full-time / Days
Join to apply for the Director, Contract & Payor Relations / Enterprise Contracting / Full-time / Days role at Children's Hospital Los Angeles (CHLA).
National Leaders in Pediatric Care Ranked among the top 10 pediatric hospitals in the nation, Children’s Hospital Los Angeles (CHLA) provides the best care for kids in California.
Here world‑class experts in medicine, education and research work together to deliver family‑centered care half a million times each year.
From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children.
The CHLA of the future is brighter than can be imagined.
Investments in technology, research and innovation will create care that is personal, convenient and empowering.
Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient.
And together, CHLA team members will turn health care into health transformation.
Join a hospital where the work you do will matter—to you, to your colleagues, and above all, to our patients and families.
The work will be challenging, but always rewarding.
Overview Purpose Statement/Position Summary: This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract language, pricing and negotiation strategy, planning and execution, revenue reconciliation as applicable, and payor relationship management on behalf of CHLA, CHLA Medical Group, CHLA Health Network and their subsidiaries.
The director will support CHLA Medical Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities to collaborate and build relationships with payors.
The role also requires collaboration and communication between Enterprise Contracting and other key stakeholder departments within CHLA and CHLA Medical Group, working closely with Decision Support, Patient Financial Services, CHLA, CHLA Medical Group, CHLA Health Network and Pediatric Management Group leadership, clinical departments, HIM, CDM, Admitting and Revenue Cycle leaders.
May have direct oversight of staff which may additionally include LOAs, CHLAMG coverage agreements and leases.
This position is based in Glendale, California, and will require travel approximately 4‑5 times a month to other hospital/medical group/payer offices.
Minimum Qualifications / Work Experience Required (10+ years of experience with progressive responsibility in the healthcare environment and 7 years of experience in a managed care position with demonstrated competencies or an equivalent combination of experience and education).
Preferred (14+ years of experience with progressive responsibility in the healthcare environment and 10 years of experience in a managed care position with demonstrated competencies or an equivalent combination of experience and education).
Education / Licensure / Certification Required: A Bachelor’s Degree in Business Administration, Hospital Administration, Public Health or related field.
Preferred: Master’s degree.
Pay Scale Information 122,595.00 – 210,163.00 USD
CHLA values the contribution each Team Member brings to our organization.
Final determination of a successful candidate’s starting pay will vary based on a number of factors, including, but not limited to, education and experience within the job or the industry.
The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description.
Additional pay may be determined for those candidates that exceed these specified qualifications and requirements.
We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
CHLA looks forward to introducing you to our world‑class organization where we create hope and build healthier futures.
Enterprise Contracting Seniority Level
Not Applicable
Employment Type
Full‑time
Job Function
Marketing
Hospitals and Health Care
CHLA is an Equal Employment Opportunity employer.
We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances.
We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance.
Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act.
Please contact CHLA Human Resources if you need assistance completing the application process.
Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA.
Further information and contacts Referral program: referrals increase your chances of interviewing at Children's Hospital Los Angeles (CHLA) by 2×.
Sign in to set job alerts for “Director Relations” roles.
#J-18808-Ljbffr
National Leaders in Pediatric Care Ranked among the top 10 pediatric hospitals in the nation, Children’s Hospital Los Angeles (CHLA) provides the best care for kids in California.
Here world‑class experts in medicine, education and research work together to deliver family‑centered care half a million times each year.
From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children.
The CHLA of the future is brighter than can be imagined.
Investments in technology, research and innovation will create care that is personal, convenient and empowering.
Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient.
And together, CHLA team members will turn health care into health transformation.
Join a hospital where the work you do will matter—to you, to your colleagues, and above all, to our patients and families.
The work will be challenging, but always rewarding.
Overview Purpose Statement/Position Summary: This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract language, pricing and negotiation strategy, planning and execution, revenue reconciliation as applicable, and payor relationship management on behalf of CHLA, CHLA Medical Group, CHLA Health Network and their subsidiaries.
The director will support CHLA Medical Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities to collaborate and build relationships with payors.
The role also requires collaboration and communication between Enterprise Contracting and other key stakeholder departments within CHLA and CHLA Medical Group, working closely with Decision Support, Patient Financial Services, CHLA, CHLA Medical Group, CHLA Health Network and Pediatric Management Group leadership, clinical departments, HIM, CDM, Admitting and Revenue Cycle leaders.
May have direct oversight of staff which may additionally include LOAs, CHLAMG coverage agreements and leases.
This position is based in Glendale, California, and will require travel approximately 4‑5 times a month to other hospital/medical group/payer offices.
Minimum Qualifications / Work Experience Required (10+ years of experience with progressive responsibility in the healthcare environment and 7 years of experience in a managed care position with demonstrated competencies or an equivalent combination of experience and education).
Preferred (14+ years of experience with progressive responsibility in the healthcare environment and 10 years of experience in a managed care position with demonstrated competencies or an equivalent combination of experience and education).
Education / Licensure / Certification Required: A Bachelor’s Degree in Business Administration, Hospital Administration, Public Health or related field.
Preferred: Master’s degree.
Pay Scale Information 122,595.00 – 210,163.00 USD
CHLA values the contribution each Team Member brings to our organization.
Final determination of a successful candidate’s starting pay will vary based on a number of factors, including, but not limited to, education and experience within the job or the industry.
The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description.
Additional pay may be determined for those candidates that exceed these specified qualifications and requirements.
We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
CHLA looks forward to introducing you to our world‑class organization where we create hope and build healthier futures.
Enterprise Contracting Seniority Level
Not Applicable
Employment Type
Full‑time
Job Function
Marketing
Hospitals and Health Care
CHLA is an Equal Employment Opportunity employer.
We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances.
We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance.
Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act.
Please contact CHLA Human Resources if you need assistance completing the application process.
Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA.
Further information and contacts Referral program: referrals increase your chances of interviewing at Children's Hospital Los Angeles (CHLA) by 2×.
Sign in to set job alerts for “Director Relations” roles.
#J-18808-Ljbffr