The Director of Contracting leads efforts and manages the logistics and the substantive life-cycle of multiple contracts, and ensures the contracts tracking systems to manage a large number of sub-contracts and grantees. Roles and responsibilities are listed on the Director of Contracting Resume as – providing oversight to program managers on contract inception, implementation, and closeout activities; preparing contract briefing materials, property inventory, and audit file documentation; analyzing contractual commitments and developing a logistical program; preparing necessary subcontracts, purchase agreements, and task orders; preparing and negotiating subcontracts, and purchase agreements; and ensuring smooth implementation of contracts.
The most sought-after skills for the post include the following – extensive progressive experience in project and contracts management, proposal cost, and budget development; experience in supply chain projects and procurement logistics management; familiarity with the FAR, and AIDAR and standardized regulations, and the ability to analyze complex contracts clauses. Formal education beyond a degree is not expected, however, work experience is more important than academic studies.
Summary : Strategic Leader with over 25 years of extensive experience and high-level expert in the Health Care Industry. Expert in identifying inefficiencies in: Contracting, Operations, Claims, Billing, Collections and Network Management. Management Experience in a wide spectrum of projects ranging from $1 million to $125 million in value.
Reported directly to the CFO and worked with Executive Members (COO, CMO, Counsel, VP of Care Mgt, Fin.
Developed contracting strategies, managed networks (for phys, hosp, SNF, HBP, ancillary) and ensured excellent quality of care, accessibility and affordable care to 700K members and affiliates.
Responsible for 15 FTEs (recruited, trained, sets goals, evals, disciplinary actions, terminations and day-to-day activities).
Contracts Negotiated and drafted custom Reimbursement Exhibits.
Led RFPs as requested by Executive Team or Cap Committee.
Reviewed language/rate structures.
Term Developed strategies months prior to Contract Term.
Experience
10+ Years
Level
Senior
Education
Business Management
Director of Contracting Resume
Objective : Perform for an organization focused on superior service to clients and improving health care delivery with proactive operational management, Utilizing my many years of managed care, contract planning, legislative/policy research and leadership skills to elevate the organization.
Executed contract negotiations and managed implementation of additional optometry, mental health and three commercial medical Health Plans and MSO's including Covered California products and VA Choice, satisfying executive goals.
Researched claims denials and executed PDR process, supporting claims department with corrections for contract billing to proper payors using accurate claims codes.
Heightened Managed Care Plan relationships, corrected quality/data exchange information and participation gaps by introducing and supporting Health Plan Quality department team efforts with LM Quality team (PCMH Level 3), produced stronger P4P program participation and increased reimbursement by roughly 300%.
Expanded specialty contracts and negotiated or modernized existing behavioral health contract relationships addressing revenue shortages and participation shortfalls.
Updated policies and procedures to reflect Health Plan, DMCH, legislative and organizational changes.
Managed drafting and executing provider Independent Contractor agreements while executing provider credentialing process for all service providers under contracted plans (Initial (35) and Re-credentialing (50)).
Experience
2-5 Years
Level
Executive
Education
B.S. In Behavioral Science
Director of Contracting Resume
Summary : A retired Director of Contracting with 13 years of government contracting experience. I'm a subject matter expert in Department of Defense medical contracting for supplies and services. Passion is for government contract administration and management. Traditionally worked at Military Treatment Facilities as the Materials Management Officer.
Skills : Government Contracting And Acquisitions, Navy Medical Supply/Logistics Officer.
Description :
Initially brought in to establish a contracting department, manage employees, and processes with full contract decision and signature authority.
Currently led reimbursement strategy development and monitoring of business direction.
Partnered with Account Managers and perform business review of potential new contracts expanding payor network access including opportunities for mitigation.
Managed and directed analysis and response to external payor audits, conduct analysis and provide input regarding new and existing product positioning and pricing based on market and reimbursement assessment.
Managed System Administrators in data content rules, to include system requirements, data structures, naming conventions, as well as claims processing procedures related to payor medical guidelines, payor processing rules, and accounting standards for claims processing.
Increased contracts from 18 to 70 full In-Network agreements, to include 13 Blues Contracts, 2 General Commercial Contracts, 8 Managed Medicaid, 25 Medicaid, and 4 Workers Compensation contracts.
By securing In Network Agreements this increased the average payment from Out of Network 36% to In-Network 66% BCBS Association Relationship - Introduced MTL to existing BCBS Association relationships.
Experience
10+ Years
Level
Senior
Education
Master Of Science
Director of Contracting Resume
Summary : Director of Contracting with 36+ years of hands-on pre-award and post-award contracting experience spanning 10 contracting activities across the Army. Strong team building skills leading diverse teams of professionals to new and greater levels of responsibility. Visionary leader with a keen sense of the big picture, allowing me to use insight, creativity, and innovation to shape the future and solve complex problems.
Skills : Microsoft Office, Adobe Creative Suite.
Description :
Responsible for the day-to-day operations of the provider and client contracting functions for Health Choice, LLC.
Worked with stakeholders to establish hospital rates for health plans and employer.
Managed all aspects of payer relationships including servicing contracts, pricing renewals, ongoing communications and dispute resolution for all issues.
Maintained effective client relationships through routine communication, meeting, etc.
Identified and implemented negotiation strategies that address efficiencies in existing contracts and appropriate terms with new clients.
Coordinated all managed care rate renewals for Methodist LeBonheur Healthcare and its affiliated entities, ensuring concise and effective communication among all stakeholders.
Worked closely with physician practices affiliated with Methodist LeBonheur Healthcare and MetroCare Physicians IPA.
Experience
10+ Years
Level
Senior
Education
Master Of Business Administration
Director of Contracting Resume
Headline : As a Director Of Contracting, responsible for Evaluating managed care proposal contracting terms and rates including development and implementation of pay for performance, bundled payments, episode of care payments, and other various forms of risk contracting.
Skills : Contracting Skills, Managing Skills.
Description :
Led and managed a team of acquisition professionals operating in a classified environment that successfully awarded, managed and administered an annual average of 1,500 simplified acquisition purchase orders, classified contracts (services, supplies and complex information systems) and military construction contracts valued in excess of 50 million dollars.
Held an unlimited Government Contracting Officer Warrant and became proficient in secure environment contracting procedures at the secret level.
Managed and provide oversight of a Government Purchase Card and Ordering Officer Program consisting of over 150 approving officials, card holders, and ordering officers that conducted an average of 20 million dollars of credit card and cash purchases (over 18,000 transactions) per year.
Achieved 100% compliance with Federal Acquisition and Department of Defense Finance Regulations for the credit card and ordering officer programs passing all audits by the U.S.
Performed contingency contracting in Iraq and Afghanistan.
Conducted business with numerous U.S and foreign contractors in order to provide critical supplies and services in a classified and extremely time sensitive environment.
Received the Bronze Star Medal in recognition of professional and superior performance while supporting combat operations.
Experience
5-7 Years
Level
Executive
Education
M.S. In Contract Management
Director of Contracting Resume
Summary : Proven leader with over 28 years of experience in managing and leading organizations, operational planning, and task execution. Experienced in Contract Administration and Management and building high-performing, goal-oriented teams that are capable of developing innovative, useful solutions and implementing those solutions.
Skills : Microsoft PowerPoint, MAC OS, Apple IOS.
Description :
Work Experienced and Training Program Integrator, Defense Contract Management Agency, Oshkosh, WI Team Chief & Contracting Officer, XVIII Airborne Corps Contracting, Ft.
Ran various committees consisting of internal and external customers.
Managed resignations and termination notifications to Health Plans.
Successfully executed enrollment of not for profit radiology entity into Medi-cal system.
Responsible for initiating the Program Management Plan, the Acquisition Plan, and running Industry Day.
Negotiated and developed new contracts within the start-up enterprise environment.
Corresponded with IPA's, PPO's and large regional insurers to develop new business opportunities.
Experience
10+ Years
Level
Senior
Education
M.S. In Contract Management
Director of Contracting Resume
Summary : Implementing sustainable solutions to important issues/problems Have a major impact on a project Discover and interact with new people in interesting places.
Skills : Microsoft, Contracting Skills.
Description :
Served as Director of Contracting for the Transatlantic Programs Center (TAC, responsible for the acquisition of all necessary construction, design services and commodities in support of the TAC mission in the Middle East, Africa and Russia.
Served as the senior contracting advisor to the TAC Commander, his deputies and staff.
Maintained extensive customer contacts to discuss contract related issues, provide information and resolves issues.
Formulated and managed all aspects of the Directorate including operating and manpower budgets and project schedules.
Identified and implemented developmental training needs and requirements of the staff.
Implemented the Internal Control Program within the directorate.
Detailed to the Coalition Provisional Authority Program Management Office, was responsible for starting up a new program to rebuild Iraq.
Experience
7-10 Years
Level
Management
Education
BA
Director of Contracting Resume
Headline : Responsible for Answering questions from providers and provider office staff on contracting issues as needed, and also Reviewing provider performance reports from health plans and develops action plans to remedy outliers.
Skills : Microsoft Office, Supervising Skills.
Description :
Managed provider network contracting and provider relations services for three IPAs within system of nurses, hospitals, clinics, and physicians caring for sick, poor, and disadvantaged in California, Nevada, and Arizona.
Oversaw HMO and PPO health plan contracts.
Chosen to work on CHW Northern California Managed Care Contracting Group.
Served as HIPAA Privacy Official.
Developed HIPAA Privacy educational materials on a temporary project.
Contracted with 1,200+ outside physicians and ancillary services and HMO/EPO/PPO payer contract management.
Received CEO Meritorious Management Award for Physician Networking/IPA development.
Experience
5-7 Years
Level
Executive
Education
Bachelor Of Science
Director of Contracting Resume
Headline : Enthusiastic, Disciplined, and Proactive individual with both skills in operations and business management looking for a challenging position in a company that embraces emerging innovation and provides a positive and competitive environment at the workplace.
Skills : Marketing, Management, Business Analysis, Business Development, Customer Service, Hiring, Project Management, Relationship Management.
Description :
Researched and developed online site for selling various packages etc.
Contracted with hotels, excursion partners.
Negotiated rates for suppliers.
Marketing included meeting with new clients, coordinating meetings and exhibitions.
Performed monthly reconciliation of business accounts, company credit cards, created bill of materials, purchase orders and payments to the vendors.
Made classified coating powders from raw materials for use in cold spray repair.
Increased individual obligation rate by 247%, leading to increased contract obligations of 20% and boosting measured productivity office-wide 140%.
Experience
5-7 Years
Level
Junior
Education
Bachelor's In Finance
Director of Contracting Resume
Objective : Participated in the start-up of 4 regional health plans as well as several new business lines with existing health plans, working with national regional health plans, TPAs, and Government Agencies to develop new reimbursement and operational alignments between payers and providers.
Skills : Planning Skills, Patient Care.
Description :
Created network for start-up Physician-Driven health plan.
Contracted with hospitals, physicians and allied health providers, ambulatory surgical centers, outpatient treatment facilities, and other healthcare providers.
Developed form contracts.
Developed Summary Plan Descriptions.
Developed full range for plan documents including patient enrollment forms, EOB forms, claims forms, etc.
Represented health plan in hearings with state regulators.
Converted from a legacy-contracting platform to an open, integrated IT architecture that reduced office costs by 50%.
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