Our Company
BrightSpring Health Services
Overview
Key responsibilities include but are not limited to the development and management of the Health Insurance Payer and Managed Care Contracting as well as Payer Contract Administration and Payer Implementation functions as well. 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.
Responsibilities
- 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
- Develop Payer relationships that capture new payer contracts for new and closed markets and specialty programs.
- Acts as payer liaison focused on addressing payer needs with appropriate resources prioritization and communication of value-added services to drive partnerships
- Provides insight and knowledge to facilitate net revenue budgeting long term planning and 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 payer issues state and government regulations payment issues etc.
- Consistently executes on business priorities and aligns team to the organizational goals
- Work within regulatory and compliance process to execute and finalize contract for roll out.
Qualifications
- Bachelors degree in related field Masters preferred
- Minimum of five (5) years of healthcare related experience in contracting credentialing and contract management responsibilities engaging in high level discussion with executive level decision makers
- Prefered experience in Neuro Therapy or Physical Medicine
- 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
- Travel up to 25%
About our Line of Business
BrightSpring Health Services provides complementary home- and community-based pharmacy and provider health solutions for complex populations in need of specialized and/or chronic care. Through the Companys service lines including pharmacy home health care and primary care and rehabilitation and behavioral health we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 450000 customers clients and patients daily. BrightSpring has consistently demonstrated strong and often industry-leading quality metrics across its services lines while improving the quality of life and health for high-need individuals and reducing overall costs to the healthcare system. For more information please visit
. Follow us on Facebook LinkedIn and X.Required Experience:
Exec
Our CompanyBrightSpring Health ServicesOverviewKey responsibilities include but are not limited to the development and management of the Health Insurance Payer and Managed Care Contracting as well as Payer Contract Administration and Payer Implementation functions as well. This is a highly visible p...
Our Company
BrightSpring Health Services
Overview
Key responsibilities include but are not limited to the development and management of the Health Insurance Payer and Managed Care Contracting as well as Payer Contract Administration and Payer Implementation functions as well. 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.
Responsibilities
- 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
- Develop Payer relationships that capture new payer contracts for new and closed markets and specialty programs.
- Acts as payer liaison focused on addressing payer needs with appropriate resources prioritization and communication of value-added services to drive partnerships
- Provides insight and knowledge to facilitate net revenue budgeting long term planning and 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 payer issues state and government regulations payment issues etc.
- Consistently executes on business priorities and aligns team to the organizational goals
- Work within regulatory and compliance process to execute and finalize contract for roll out.
Qualifications
- Bachelors degree in related field Masters preferred
- Minimum of five (5) years of healthcare related experience in contracting credentialing and contract management responsibilities engaging in high level discussion with executive level decision makers
- Prefered experience in Neuro Therapy or Physical Medicine
- 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
- Travel up to 25%
About our Line of Business
BrightSpring Health Services provides complementary home- and community-based pharmacy and provider health solutions for complex populations in need of specialized and/or chronic care. Through the Companys service lines including pharmacy home health care and primary care and rehabilitation and behavioral health we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 450000 customers clients and patients daily. BrightSpring has consistently demonstrated strong and often industry-leading quality metrics across its services lines while improving the quality of life and health for high-need individuals and reducing overall costs to the healthcare system. For more information please visit
. Follow us on Facebook LinkedIn and X.Required Experience:
Exec
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