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
Skills Required
- Bachelor’s degree
- 8–10 years of experience in hospital network development, managed care contracting, or provider strategy
- Experience leading national or regional hospital contracting strategies
- Executive-level engagement and high-value negotiation experience
- 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 thinking with financial and legal acumen
- Effective communication and cross-functional leadership skills
- Health Administration, Business, or Public Policy degree or background
- Insurance knowledge within healthcare sales
- Proficiency in CRM systems such as Salesforce, Microsoft Office Suite, and contracting platforms
- Willingness to travel 25–40% domestically
What We Do
USA Managed Care Organization (USA MCO) is the largest, most comprehensive, privately-held Preferred Provider Organization in America, specializing in workers' compensation medical care and rehabilitation, and offering innovative alternatives to traditional group health and workers’ compensation medical benefits.
