Director Payer Relations & Contract

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profile Job Location:

Philadelphia, PA - USA

profile Monthly Salary: Not Disclosed
Posted on: 10 hours ago
Vacancies: 1 Vacancy

Job Summary

Reporting to the AVP Government & Payer Strategy the Director will oversee the payer contracting and support the payer strategy functions for the Health System. The Director will continuously assess and refine the Health Systems payer contracts which will encompass all third party plans including Commercial Medical Assistance Medicare Advantage Workers Compensation International care via Philadelphia International Medicine and any other payer arrangement. Additionally the Director will include any CMS or Commonwealth based programs beyond the traditional FFS programs such as those originating in CMMI. The Director is the primary contact with health insurers for the development of new products promotion of Health System services contracting issues and pricing. Develops and maintains third party payer agreements with health system member institutions and affiliates to optimize revenue. The Director will coordinate the contracting aspect for the Temple Care Clinically Integrated Network (TempleCare CIN) network management functions and payer contracting.

Education
Masters Degree Required or
Combination of relevant education and experience may be considered in lieu of degree Required

Experience
10 years experience in a related position including 5 years of performance driven contracts
and ACO/CIN agreements Required
7 years experience in a healthcare provider environment Required
General Experience in managed care contracting Required

Licenses

Your Tomorrow is Here!


Temple Health is committed to setting new standards for preventing diagnosing and treating major diseases in our community and across the nation. Achieving that goal means investing in our employees success through staff and leadership development. Our recruitment strategy is to attract and retain a diverse high performing workforce that fosters a healthy safe and productive environment for our patients and colleagues alike.

Your Tomorrow is Here!


Temple Health is a dynamic network of outstanding hospitals specialty centers and physician practices that is advancing the fight against disease pushing the boundaries of medical science and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH) Fox Chase Cancer Center TUH-Jeanes Campus TUH-Episcopal Campus TUH-Northeastern Campus Temple Physicians Inc. and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.

To support this mission Temple Health is continuously recruiting top talent to join its diverse 10000 strong workforce that fosters a healthy safe and productive environment for its patients visitors students and colleagues alike. At Temple Health your tomorrow is here!

Equal Opportunity Employer/Veterans/Disabled

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin or protected veteran status and will not be discriminated against on the basis of disability.


Required Experience:

Director

Reporting to the AVP Government & Payer Strategy the Director will oversee the payer contracting and support the payer strategy functions for the Health System. The Director will continuously assess and refine the Health Systems payer contracts which will encompass all third party plans including C...
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Key Skills

  • Revenue Cycle Management
  • Marketing
  • Public Relations
  • Algebra
  • MailChimp
  • Media Relations
  • Social Listening
  • Relationship Management
  • Customer relationship management
  • Medicare
  • Public Speaking
  • Writing Skills

About Company

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Temple Health is a major Philadelphia-based academic health system that is driving medical advances through clinical innovation, pioneering research and world-class education.

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