Director Payor Contracting
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Job Location:
Charlotte, VT - USA
Monthly Salary:
$ 68 - 102
Posted on:
4 hours ago
Vacancies:
1 Vacancy
Job Summary
Department:
Status:
Benefits Eligible:
Hours Per Week:
Schedule Details/Additional Information:
Pay Range
$68.20 - $102.30Job Summary
Maintains Atrium Healths managed care portfolio performance. Ensures appropriate planning and execution of each negotiation to ensure appropriate contract rates and language are negotiated within established deadlines with yields that meet or exceed budget. Ensures Atrium Health maintains payor pricing parity and develops contracting strategy for the system and ensures implementation of strategy through contracting activities.
Essential Functions
- Participates actively in system-wide major payor negotiation and participates in other negotiations on an as-needed basis.
- Ensures appropriate contracting planning is completed and presented to Managed Health including annual Atrium Health Contracting Plan and individual negotiation plans.
- Develops and maintains relationships with contracted Payors.
- Maintains current working knowledge of all System contracts. Evaluate recommend and oversee implementation of an on-line contract document management system.
- Provides System with accurate and current managed care market intelligence by maintaining a working understanding of local regional and national trends. Conducts competitive market assessments changes and impact of regulatory environment changes and impact of payor initiatives and provide other information to support Managed Health reporting initiatives.
- Communicates actively in Atrium Health managed care initiatives and results to appropriate audiences. Serve as Managed Health lead for Physicians Services Contracting Committee.
- Develops and maintains cooperative internal working relationships to effectively evaluate and assess overall impact of contracting initiatives. Proactively work with Managed Health Contract Compliance to understand operational issues and the impact on contracting. Proactively work with Managed Health Performance Management to report and refine reporting of contract performance analysis and modeling tools.
Physical Requirements
Performs most work under normal office conditions. Work may include sitting for long periods of time standing walking using repetitive wrist/arm motion or lifting articles up to 25 pounds.
Education Experience and Certifications
Bachelors Degree required Advanced degree MBA or MHA preferred. Seven years provider experience as a contract negotiator required; willing to consider ten years combined provider and/or payor experience as a contract negotiator. Proven track record of closing negotiations on time and at or exceeding budget expectations. Must have closed negotiations for a major payor/major system required.
Our CommitmenttoYou:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs competitive compensation generous retirement offerings programs that invest in your career development and so much more so you can live fully at and away from work including:
Compensation
- Base compensation listed within the listed pay range based on factors such as qualifications skills relevant experience and/or training
- Premium pay such as shift on call and more based on a teammates job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more
- Paid Time Off programs
- Health and welfare benefits such as medical dental vision life andShort- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit integrated health system in the United States created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas Georgia and Alabama; and Aurora Health Care in Wisconsin Advocate Health is a national leader in clinical innovation health outcomes consumer experience and value-based care. Headquartered in Charlotte North Carolina Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology neurosciences oncology pediatrics and rehabilitation as well as organ transplants burn treatments and specialized musculoskeletal programs. Advocate Health employs 155000 teammates across 69 hospitals and over 1000 care locations and offers one of the nations largest graduate medical education programs with over 2000 residents and fellows across more than 200 programs. Committed to providing equitable care for all Advocate Health provides more than $6 billion in annual community benefits.
Required Experience:
Director
Key Skills
- Fundraising
- Management Experience
- Coaching
- Analysis Skills
- Strategic Planning
- Team Management
- Budgeting
- Leadership Experience
- Mentoring
- Public Speaking
- negotiation
- Supervising Experience
About Company
Proudly serving Wisconsin with 18 hospitals, over 150 clinics and 70 pharmacies across 30 communities. Choose Aurora Health Care for you and your family.
