Director, Contracting

Role Overview

• 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
• Other Duties as assigned

Requirements

• 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
• Experience working with health plans
• Must be fluent in Microsoft Office applications.

Benefits

• Paid Time Off
• Medical
• Dental
• Vision
• Life
• Disability
• Healthcare FSA
• Dependent Care FSA
• Limited Healthcare FSA
• FSAs for Transportation and Parking & HSAs
• a matching 401(K) Plan
• 9 observed holidays
• paid family leave