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Director, Contracting
AMSURGDirector of Contracting at AMSURG negotiating reimbursement terms with health plans for ambulatory surgery centers. Managing relationships and ensuring optimal reimbursement rates while overseeing multiple negotiations.
About the role
Key responsibilities & impact- 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
- Position requires overnight travel up to 25% of the time
Requirements
What you’ll need- Bachelor’s degree with an emphasis in finance, accounting, or healthcare administration
- Six to ten 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
- Must be fluent in Microsoft Office applications
Benefits
Comp & perks- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
contract negotiationsfinancial analysismanaged care contractingpayment methodologiescontract languagedata analysisreport developmentproject managementcontract managementutilization trends
Soft Skills
negotiating skillsrelationship buildingorganizational skillswritten communicationverbal communicationdeadline managementconflict resolutionindependenceself-directionurgency