About The Position

The Director provides leadership for payer contracting strategy across SNHH entities, ensuring contract integrity, payment accuracy, and analytics that inform negotiations and operational improvements. This role develops actionable dashboards, identifies risks and opportunities, and partners with internal stakeholders to optimize reimbursement while incorporating a value-based care lens.

Requirements

  • Bachelor’s degree in business or related field (Master’s preferred).
  • 7+ years in healthcare managed care contracting, including payer negotiations; experience in value-based care programs.
  • Strong analytical skills, advanced Excel, proficiency in Access, contract management software expertise.
  • Excellent communication, ability to work independently, prioritize tasks, and manage complex problems in a fast-paced environment.

Nice To Haves

  • Epic Contract Management certification
  • SharePoint experience

Responsibilities

  • Lead analytics to inform negotiation methodology, rates, and operational opportunities.
  • Stay current with payer policies and reimbursement developments; communicate impacts and strategies.
  • Ensure accuracy and timeliness of payer contracts in the contract management system; oversee builds and QA.
  • Develop documentation, job aids, and training for internal partners.
  • Maintain Epic dashboards and build reports summarizing contract activity and revenue improvements.
  • Validate contract payments and lead root-cause corrections for underpayments.
  • Partner with Revenue Cycle and other departments to improve billing and reduce denials.
  • Support annual operating budget process and conduct financial feasibility studies.
  • Collaborate across clinical, financial, and operational teams.

Benefits

  • Health, dental, prescription, and vision coverage for full-time & part-time employees
  • Short-term, long-term disability, life & pet insurance
  • Tuition & certification reimbursement (up to $4,000/year)
  • Nursing Student Loan Paydown Program (up to $20,000)
  • 403(b) Retirement savings plans with company matching
  • Continuous earned time accrual & So much more!

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Full-time

Career Level

Director

Number of Employees

5,001-10,000 employees

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service