Bannockburn, IL, 60015, USA
23 hours ago
Sr. Director, Contract Process, Credentialing, and AIC - Hybrid
**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 8,000 team members including 5,000 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 two-year recipient of the Gallup Exceptional Workplace Award, we recognize that part of being extraordinary is building a **thriving workforce that is as unique as the patients and communities we serve.** Join a company that is taking action to develop a culture that is inclusive, respectful, engaging and rewarding for all team members. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare. **Job Description Summary:** The Sr. Director of Contract Process, Credentialing, and AIC is responsible for the design and implementation of all processes related to OPCH expansion into AICs, including build out of contracting and credentialing teams. This role will lead Contract Management Systems for the organization which will enable electronic workflows and approval, as well as contract inventory, and retention. The Sr. Director will works collaboratively to develop Contracting Department policies and procedures to support effective communications and training for all third party agreement implementations. This position also has direct responsibility for leading and managing the credentialing department which enables us to stay contracted with all third party payers, and for nursing subcontract arrangements, as well as for the administrator of the newly developed contract management system. **Job Description:** ​ Responsible for the development of the team, processes, procedures, and reporting for the Ambulatory Infusion Clinic execution in collaboration with IT, AIC, Operations, Commercial, and Finance teams. Develops and updates final design and implementation of an electronic Contract Management System along with effective policies and procedures to support seamless implementation, effective monitoring, streamline processes and performance measurement of third party contracts, as well as developing processes for Contract System Management team to ensure effective workflow and timeliness to contract terms that will help drive greater accuracy in our billing and help reduce bad debt. Leads and manages team responsible for Credentialing for third party payers and Nursing agencies, as well as RFP creation for third party agreement opportunities. Responsible for development and continual improvement of third party payer implementation processes across all products and services and ensures customer service standards are met. Ensures that policies and procedures are revised to address any operational issues that are identified that relate to our third party agreements. Responsible for integration activities as it relates to mergers and acquisitions and how contract integration is achieved. **Supervisory Responsibilities** Does this position have supervisory responsibilities? (i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) No Yes **Basic Education and/or Experience Requirements** Bachelor’s Degree and at least 10 (ten) years experience in a combination of Contracting, Finance, Account Management, Pricing and Corporate Strategy. At least ten (10) years of experience in contract analysis and administration. At least five (5) years of experience planning, developing, and managing departmental expense budgets. At least five (5) years of experience directly managing people, including hiring, developing, motivating, and directing people as they work. **Basic Qualifications** Demonstrated leadership, and strong communication and relationship building skills Experience with leading complex integration projects Experience developing strategic initiatives which align with business goals and budget. 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 established timelines. Experience in identifying operational issues and recommending and implementing strategies to resolve problems. Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates. Experience developing ways of accomplishing goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary. Experience negotiating with outside vendors, including negotiating contracts, prices, resolving service issues and reconciling differences. Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems. Experience in managing remote team members. Experience developing and delivering presentations to various audience levels within an organization. Advanced level skill in Microsoft Excel (for example: using AVERAGE function, merging and centering cells, printing centered page and/or creating a pivot table). Advanced level skill in Microsoft PowerPoint (for example: changing picture styles, customizing animation and/or setting automatic slide timings). Advanced level skill in Microsoft Word (for example: adding developer tab, creating a macro, formatting table style, inserting comments and/or creating a mail merge). **Travel Requirements: (if required)** Willing to travel up to 15% of the time for business purposes (within state and out of state). **Preferred Qualifications & Interests (PQIs)** Home Infusion and Managed Markets experience Due to state pay transparency laws, the full range for the position is below: Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Pay Range is $142,327.53-$237,190.02 **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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