Director of Contract Management

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Scheduled Weekly Hours:

Position Overview

SUMMARY (Basic Purpose of the Job)

MINIMUM REQUIREMENTS

Education: Bachelor’s degree in Business Administration, Healthcare Administration, Legal Studies or a related field. Master’s degree or professional certifications (e.g., CHC, CPC, CCS) preferred. Additional years of experience may be considered in lieu of a formal degree.

Experience: Seven years of progressively responsible, directly related experience, including at least three years in a leadership role, in contract management or healthcare compliance when accompanied by a Bachelor’s degree. Eleven years of progressively responsible, directly related experience, including at least three years in a leadership role, in contract management or healthcare compliance when accompanied by a high school diploma or equivalent. Direct experience in contract compliance is strongly preferred.

Other Credentials:

Knowledge and Skills: Strong working knowledge of federal and state healthcare laws, including Stark Law, Anti-Kickback Statutes, HIPAA, and Business Associate Agreements. Deep understanding of the practical, financial and regulatory requirements of physician contract and medical director agreements, including Fair Market Value (FMV) standards. Strong working knowledge of contract management software, pipeline tracking and routing systems from initial request to digital archiving. Comprehensive understanding of how operations, supply chain, legal counsel and finance departments interconnect during the contract lifecycle. Professional proficiency with the full Microsoft Office suite of applications. Excellent written and verbal communication skills, including the ability to convey complex legal and financial terms clearly to any audience.

Special Training:

Mental, Behavioral and Emotional Abilities:Demonstrated ability to mentor and guide a team, promoting cross-training and professional growth to keep the department flexible. Proven capacity for high-volume attention to detail, ensuring accuracy without losing track of deadlines. Demonstrated ability to manage multiple priorities and pivot quickly in a fast-paced environment. Natural ability to stay organized and resolve operational challenges with a calm, solution-oriented approach. Strong interpersonal skills with the ability to collaborate across all levels of the organization.

Usual Work Day:8 Hours  

Reporting Relationships

Does this position formally supervise employees? Yes

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS

• Establish and maintain the system-wide contract operations framework, ensuring all agreements comply with legal policies and healthcare regulatory standards
• Lead, mentor and evaluate the contract management team, fostering collaboration, professional growth and clear communication across departments
• Develop and implement practical policies, procedures and daily protocols for system-wide contract administration and compliance monitoring
• Coordinate with finance, legal, human resources, supply chain, information technology and clinical leaders to ensure contract management strategies support organizational goals
• Oversee Capital Health’s contract pipeline, tracking the requisition, drafting, execution and storage of physician arrangements and enterprise-wide vendor agreements
• Design and enforce internal financial audit controls to validate that incoming vendor and physician invoices match approved contract terms
• Serve as the primary authority and escalation point for internal departments regarding contract terms, processing bottlenecks and compliance questions
• Drive compliance with healthcare laws, including Stark Law, Anti-Kickback Statutes and HIPAA Business Associate Agreements
• Direct and certify the documentation process for physician contracts, ensuring strict adherence to FMV and commercial reasonableness standards
• Develop and implement resolution strategies for complex contract disputes, structural compliance breaches and vendor performance issues
• Identify and evaluate significant contract compliance issues, escalating matters as needed to legal counsel or senior leadership
• Advise senior leadership and executive stakeholders on emerging regulatory changes, industry trends and institutional risks associated with hospital agreements
• Direct the preparation of periodic compliance metrics, risk assessments and pipeline trend reports for executive review
• Monitor contract performance metrics and industry best practices to drive continuous process improvements across the contracts team
• Perform other duties as assigned

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include: Sitting

Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion , Taste or Smell , Talk or Hear

Continuous physical demands include:

Lifting Floor to Waist 10 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Color Discrimination, Accurate Depth Perception, Accurate Hearing

Anticipated Occupational Exposure Risks Include the following: Dust/Particulate Matter
 

This position is eligible for the following benefits:

• Medical Plan

• Prescription drug coverage & In-House Employee Pharmacy

• Dental Plan

• Vision Plan

• Flexible Spending Account (FSA)

- Healthcare FSA

- Dependent Care FSA

• Retirement Savings and Investment Plan

• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance

• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance

• Disability Benefits – Long Term Disability (LTD)

• Disability Benefits – Short Term Disability (STD)

• Employee Assistance Program

• Commuter Transit

• Commuter Parking

• Supplemental Life Insurance

- Voluntary Life Spouse

- Voluntary Life Employee

- Voluntary Life Child

• Voluntary Legal Services

• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance

• Voluntary Identity Theft Insurance

• Voluntary Pet Insurance

• Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. 

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.