Director, Managed Care Contracting

 We’re hunting for a Director of Managed Care Contracting, someone who’s ready to be part of the best ranked children’s hospital in Texas, and among the best in the nation. In this position, you will develop and maintain all third-party payer contracts for Integrated Delivery System (IDS), including but not limited to Hospital and Physician Service Organization (PSO), Pediatrics, Urgent Care, and Children's Specialty Pharmacy.

Think you’ve got what it takes?

Job Duties & Responsibilities
•    Plan, develop, organize, direct and implement a coordinated approach to contracting which assures that the obligations of contractual agreements with HHSC, TDI and legislative regulations as it pertains to contracting for hospitals, physicians and other healthcare providers.
•    Provide development and supervision of managers and staff.
•    Participate in interdepartmental groups to represent managed care contracting needs including claims, medical management, operations, finance, quality improvement and other related services.
•    Maintain adequate levels of qualified and competent staff in the department by collaborating with the leadership team in the recruitment and hiring of departmental employees.
•    Facilitate orientation of staff to the department and provide appropriate feedback and evaluation of progress.
•    Establish goals for performance standards.
•    Provide for training and development of staff to achieve standards and meet or exceed industry benchmarks for operations and performance.
•    Provide oversight and analysis of managed care contracting services, evaluation of program offerings, health trends, and pricing strategies.
•    Develop approaches, policies and programs for contracting strategies which are based on the goals and objectives, and which meet the performance goals.
•    Support the delivery of cost effective, community-based and culturally sensitive health care through development of educational and collaboration opportunities with payers.

Skills & Requirements
•    Bachelor's Degree required
•    7 years healthcare experience, including 3 years of managed care experience in a managed care organization and including 2 years of supervisory experience required

Previous experience in Payor contracting highly desired

About Texas Children’s

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years. 

Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston; and Texas Children’s Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children’s Health Plan, the nation’s first HMO focused on children; Texas Children’s Pediatrics, the largest pediatric primary care network in the country; Texas Children’s Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation. 

 To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

 Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.