SENIOR DIRECTOR OF HOSPITAL ENGAGEMENT

The Senior Director of Hospital Engagement is a senior executive responsible for leading USA Managed Care Organization’s strategy to grow and optimize its hospital network. This leader drives strategic engagement with hospital systems, C-suite executives, and health system administrators to expand access, enhance alignment, and elevate USA MCO’s competitive edge across Medigap and managed care offerings.

Essential Functions

Strategic Network Expansion

• Help lead the development and execution of USA MCO’s hospital contracting strategy aligned with market expansion goals.
• Identify target facilities and health systems using geographic data, market opportunity, and competitive intelligence.
• Initiate and lead negotiations with C-level hospital executives, legal teams, and administrators.
• Direct a multi-region pipeline of hospital and facility opportunities, monitoring progress across all contracting stages.

Executive Partner Engagement

• Serve as the executive liaison to strategic hospital partners and major health systems.
• Represent USA MCO at high-level industry events, conferences, and executive meetings.

Team Leadership & Oversight

• Responsible for hospital engagement, contracting, and relationship management.
• Coach and develop talent in negotiation strategy, provider relations, and network planning.
• Foster cross-functional collaboration to support implementation, credentialing, and performance tracking.

Contract Governance & Performance

• Oversee legal and financial review of hospital contracts, including rate structures, exclusivity terms, and performance guarantees.
• Monitor hospital partner performance, satisfaction, and compliance with contract terms.
• Support integration of new providers into claims, billing, and eligibility systems.

Market Intelligence & Reporting

• Deliver data-driven insights to executive leadership on network gaps, provider performance, and contracting outcomes.
• Monitor competitor activity and market trends to inform USA MCO’s strategic positioning.
• Maintain accurate reporting of network status, signed agreements, and pipeline metrics.

Qualifications

Education:

• Bachelor's degree required.
• Health Administration, Business, or Public Policy preferred.

Experience:

• Minimum of 8–10 years in hospital network development, managed care contracting, or provider strategy.
• Proven experience leading national or regional hospital contracting strategies.
• Executive-level engagement and high-value negotiation experience required.
• Insurance Knowledge within healthcare sales (Preferred).

Skills & Competencies

• Deep understanding of hospital systems, healthcare operations, and payer-provider dynamics.
• Executive presence and ability to influence and build trust with C-suite stakeholders.
• Strategic thinker with financial and legal acumen.
• Effective communicator and cross-functional leader.

Technology

• Proficient in CRM systems (e.g., Salesforce), Microsoft Office Suite, and contracting platforms.

Travel

• Willingness to travel 25–40% domestically for partner meetings and industry events.

Benefits:

• 401(k)
• 401(k) matching
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Travel reimbursement
• Tuition reimbursement
• Vision insurance

Work Location: In person