Executive Director, Provider Contracting- Work from home

Richardson, TX Chicago, IL Nashville, TN Tulsa, OK Full time 08/28/2026 R0055291 Compensation: $161,500.00 - $299,700.00 At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

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This position is responsible for overall provider relations and also oversees the following: the development and management of network strategies, contract drafting, reimbursement contract negotiations, and servicing for hospitals for HMO and PPO products and networks to support Medicare advantage and Medicaid programs. This position is responsible for ensuring contracted network coverage and for oversight of management and staff who manage contracting operations nationally. Ability and willingness to travel. Job Responsibilities:

1. Develop and manage contracting strategies for statewide operations relative to commercial HMO and PPO.

2. Accountable for the development, negotiation and successful completion of reimbursement contracts. Ensure appropriate coverage of networks for locations.

3. Develop network, draft reimbursement agreements and negotiate reimbursement contracts for hospitals, large professional groups, ancillary providers, and hospital based physicians, for Commercial HMO and PPO, Medicare Advantage and Medicaid networks.

4. Achieve competitive advantage in discounts and access through contract negotiations and effective relationship management.

5. Develop strategies, draft agreements and negotiate contracts for newly recognized categories of providers.

6. Oversee the analysis and reporting required to develop reimbursement strategies and take corrective action as needed.

7. Oversee the performance of hospital audits and appropriate reimbursement of hospital costs.

8. Account