Director, Payer Contracts National

Amerita

We are Seeking a Director of Payer Contracts - National. Key responsibilities include but are not limited to the management of the Payer Contract Administration and Payer Implementation functions as well as PBM contracting and Managed Care contracting. This is a highly visible position and will work closely with Directors of Managed Care RCM Sales Executive and Field Management to provide research and solutions on payer related issues.

This is a remote position and applicants may live anywhere within the Continental USA

Schedule: Monday-Friday 8.30am-5 pm

We offer:

Medical Dental & Vision Benefits plus HSA & FSA Savings Accounts
Supplemental Coverage Accident Critical Illness and Hospital Indemnity Insurance
401(k) Retirement Plan with Employer Match
Company paid Life and AD&D Insurance Short-Term and Long-Term Disability
Employee Discounts
Tuition Reimbursement
Paid Time Off & Holidays

• Responsible for acquisition due diligence and integration related to government and commercial payers for all lines of business
• Responsible for the pursuit of business growth related to payer contracting delivering substantial and profitable growth for the company including opportunistically working with the field sales teams to support current and expansion markets
• Acts as payer liaison focused on addressing Home Infusion Therapy (HIT) and PBM payer needs with appropriate resources and prioritization of value-added services and products
• Oversees HIT managed care sales process including negotiating terms with payers. Negotiations include discussion on payment rate and structure and all aspects of contract language
• Provides insight and knowledge in order to facilitate net revenue budgeting long term planning and the strategic planning for the organization
• Participates in events that are important to the business including trade shows and educational events to promote services visibility and relevance with targeted payers
• Manages highly complex market dynamics including HIT and PBM payer issues state and government regulations payment issues etc.
• Consistently executes on business priorities and aligns team to the organizational goals
• Manages payer contracting oversight responsibilities for any contracting cycle (new and amended) and credentialing

• Bachelors degree in related field Masters preferred
• Minimum of five (5) years of healthcare related experience preferably with contracting and credentialing responsibilities (managed care government PBM); home infusion and medical clinic experience preferred
• Excellent time management prioritization and organizational skills
• Experience in Outlook Word and PowerPoint desired
• Strong organizational and interpersonal skills as well as ability to build lasting client relationships
• Well-developed planning marketing organizational development and business skills
• General business and financial acumen; understanding of managed care terminology contracting environment procedures and workflows
• Self-motivated and results oriented
• Proficiency in Microsoft Office applications including Excel Word and PowerPoint
• Proficiency in or other CRM applications
• Excellent verbal and written communication and presentation skills

**To perform this position will require sitting and typing on keyboard with fingers and occasionally standing and walking. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**