Director, Contracting
AMSURG
full-time
Posted on:
Location Type: Remote
Location: California • United States
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Job Level
About the role
- Negotiate initial or renewal contractual terms and reimbursement with designated market payers
- Manage multiple concurrent negotiation activities while leveraging strong project management skills to drive progress on specific market strategies to optimize reimbursement
- Create and maintain relationships between AmSurg providers and payers related to contracting
- Facilitate updating and maintenance of consolidated contract management system for accurate tracking of reimbursement terms and conditions
- Establish regular communication and strong inter-Company relationships, while monitoring payer issues as they relate to provider participation, contract loading, payment issues in conjunction with Revenue Cycle team
- Assist in the development of departmental goals, executing projects to achieve these goals, and working closely with others within the HPR Department to continuously monitor Department performance
- Onboard acquisitions and new entities / locations to payer contracts as requested
- Develop reports and presentations by collecting, analyzing and summarizing information and trends
- In collaboration with Vice President, analyze contract performance data, conduct onsite visits with payers, clients and centers that require market specific strategies.
- Ability to work in a matrix environment where multiple and competing customer demands are likely
- Facilitate internal training or educational tools as they related to health plan contracting
Requirements
- Bachelor's degree with an emphasis in finance, accounting, or healthcare administration
- 6 to 10 years relevant experience in health care including managed care contracting, payment methodologies, contract language, contract negotiations and financial analysis
- Strong negotiating skills with national/regional payors
- Solid understanding of payer contract language and multiple payment methodologies
- Ability to build relationships with providers, external vendors/payers and employees at all levels in the organization
- Strong organizational and written/verbal communication skills
- Excellent ability to manage to deadlines
- Demonstrated proficiency with financial reports, utilization trends, and patient mix based upon analysis of the data being tracked
- Experience working in a matrix environment where multiple and competing customer demands are likely
- Ability to work independently and with little supervision
- Ability to positively handle conflict
- Self-directed with a strong bias for action and urgency
- Experience working with health plans
- Must be fluent in Microsoft Office applications
Benefits
- Paid Time Off
- Medical
- Dental
- Vision
- Life
- Disability
- Healthcare FSA
- Dependent Care FSA
- Limited Healthcare FSA
- FSAs for Transportation and Parking & HSAs
- Matching 401(K) Plan
- 9 observed holidays
- Paid family leave
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
contract negotiationsfinancial analysispayer contract languagepayment methodologiesproject managementdata analysisreport developmentcontract managementhealthcare administrationutilization trends
Soft Skills
negotiating skillsrelationship buildingorganizational skillswritten communicationverbal communicationdeadline managementconflict resolutionself-directedaction-orientedteam collaboration
Certifications
Bachelor's degree in financeBachelor's degree in accountingBachelor's degree in healthcare administration