Why Us?:
With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. Hanger's Patient Care segment is the largest owner and operator of O&P patient care clinics nationwide. Through its Products & Services segment, Hanger distributes branded and private label O&P devices, products and components, and provides rehabilitative solutions to the broader market. With 160 years of clinical excellence and innovation, Hanger's vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value. Collectively, Hanger employees touch thousands of lives each day, helping people achieve new levels of mobility and freedom.
Could This Be For You?:
We are seeking a Sales Contract Management Director - Remote who will be the leader responsible for overseeing operations related to payor contracts, implementation of EDI relationships with payors and partners, as well as assumption and integration of new payor contracts from M&A activities and subsidiary TIN merger activities. The incumbent serves as the programmatic and operational leader for Sales Contracting and is responsible to the Vice President, Commercial Operations and works closely with Hanger Clinic RCM, Sales and regional leaders.
Your Impact:
- Leads teams responsible for administering contracts with Hanger Clinic payors including contracting process, systems implementation and monitoring of contracts. Provides in-depth financial analyses and develops proposals to optimize opportunities for negotiating/securing contracts.
- Uses financial data, membership information, metrics and contract terms to engage payors in disputes over payment rate, contract language, coverage guidelines and structure.
- Formulates objectives, goals and strategies in conjunction with business stakeholders. Provides a financial model and approval processes; defines floor bottoms/minimums, and contracting objectives for the field.
- Coordinates efforts to integrate and align Hanger Clinic contracting efforts among newly acquired organizations and for new partnerships between Hanger Clinic and organizations where Hanger Clinic will serve as the contracting agent.
- Prepares and delivers reports to operational leadership outlining progress toward meeting annual goals and objectives, to include performance related to finance, administrative and management activity, quality, and human resources.
- Establishes an annual operating and capital budget, guiding staff to effectively allocate resources based on contract and contract activity volume, space availability, budget constraints and program priorities.
- Prepares the company for anticipated payment system evolution/change and new risk arrangements. Keeps the company current in terms of new model payer relationships.
- Anticipates upstream bundling arrangements from physician and hospital referral sources and potential risk carve outs.
- Responsibility for implementing metrics and evaluating how managed care contracts are performing in conjunction with Finance and Operations functions
- Communicates and coordinates with various leadership across the country, community and organization.
- Ensure Medicare & Medicaid managed care contract compliance with Legal & Compliance standards. Development and maintenance of a good contract management system.
- Perform other duties or special projects as assigned.
Minimum Qualifications:
- BS Degree in Business, Healthcare or related field
- Minimum 7 years of relevant work experience as managed care, contract management in a provider related company including at least 3 years in a people management capacity
- Strong operations and project management experience required to work with local contracting personnel on many contracts across all states.
- Must have, or be eligible to obtain, a valid driver’s license and driving record within the standards outlined within Hanger’s Motor Vehicle Safety Policy and Procedures.
Additional Success Factors:
- Extensive knowledge of insurance industry operations, healthcare operations, and related contractual and financial relationships
- Demonstrated quantitative skills including creating proposals, forecasts and action plans
- Experience with Medicare and Medicaid reimbursements and coordination with Legal to comply with these public payer programs.
- Ability to analyze information and convert related activities into a comprehensive work plan
- Act with integrity in all ways and at all times, remaining honest, transparent, and respectful in all relationships.
- Keep the patient at the center of everything that you do, building lifelong trust.
- Foster open collaboration and constructive dialogue with everyone around you.
- Continuously innovate new solutions, influencing and responding to change.
- Focus on superior outcomes, and calibrate work processes for outstanding results.
#LI-Remote
Pay range of $156,000 to $195,000 annual salary + annual bonus: up to 25% of base pay depending on bonus criteria. This pay range is posted to comply with wage transparency laws. Hanger salary ranges vary based on skill, ability, knowledge, geographic location and other variables.
Our Investment in You:
- Competitive Compensation Packages
- 8 Paid National Holidays & 4 additional Floating Holidays
- PTO that includes Vacation and Sick time
- Medical, Dental, and Vision Benefits
- 401k Savings and Retirement Plan
- Paid Parental Bonding Leave for New Parents
- Flexible Work Schedules and Part-time Opportunities
- Generous Employee Referral Bonus Program
- Mentorship Programs- Mentor and Mentee
- Student Loan Repayment Assistance by Location
- Relocation Assistance
- Regional & National traveling CPO/CO/CP opportunities
- Volunteering for Local and National events such as Hanger’s BAKA Bootcamp and EmpowerFest
Hanger, Inc. is committed to providing equal employment opportunity in all aspects of the employer-employee relationship. All conditions and privileges of employment are administered to all employees without discrimination or harassment because of race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, physical or mental disability, military service, pregnancy, childbirth and related medical conditions, special disabled veteran status, or any other classification protected by federal, state, and local laws and ordinances. The company will comply with all applicable state or local fair employment laws that forbid discrimination or harassment on the basis of other protected characteristics. Retaliation against any employee for filing or supporting a complaint of discrimination or harassment is prohibited.
