MGR, Contracting - Health Plan Relations (West Region)

AMSURG•Remote,

5d•Remote

About The Position

The Manager, Contracting – Health Plan Relations supports AMSURG’s managed care contracting activities, including payer negotiations and contract research. The role is remote, with an ideal location in the West Region (west of the Mississippi River), and includes overnight and local travel as needed. The position supports payer relationships and contract negotiations, works with AMSURG operations on center-level contracting priorities, and contracts and onboards acquisitions, de novo centers, and new provider affiliations with payers. In collaboration with Directors, the Manager helps monitor payer issues such as provider participation, contract loading, and payment issues. The role also contributes to departmental goals and contracting plans, prepares reports and presentations, develops internal training tools related to health plan contracting, and follows departmental procedures for negotiations, modeling, and contract loading. The successful candidate is self-directed, effective in a matrix environment with competing customer demands, and skilled in internal and external relationship management. A bachelor’s degree and 5–8 years of relevant experience are required; equivalent experience is considered. Overnight travel may be up to 25% of the time. AMSURG describes its culture as grounded in care, integrity, excellence, and teamwork. Benefits include paid time off, observed holidays, paid family leave, health and welfare coverage, and a matching 401(k) plan.

Requirements

Bachelor’s degree required; equivalent experience is considered.
5–8 years of relevant experience, including managed care contracting, financial analysis, payment methodologies, contract language, and negotiations.
Strong organizational and written and oral communication skills.
Ability to work independently with little supervision.
Excellent ability to manage deadlines.
Ability to handle conflict positively.
Fluency in Microsoft Office applications.
Overnight travel up to 25% of the time.
Demonstrated proficiency with financial reports and modeling.
Excellent customer relationship and management skills.
Demonstrated leadership and/or people management skills.
Self-directed, with a strong bias for action.

Responsibilities

Support contract negotiations, contract research, and ongoing payer relationships.
Support relationships with AMSURG operations by executing center-level contracting priorities, in collaboration with Directors and as directed by the Vice President, Contracting.
Contract and onboard acquisitions, de novo centers, and new provider affiliations with payers as directed.
Help monitor payer issues, including provider participation, contract loading, and payment issues, in collaboration with Directors.
Promote client satisfaction through internal and external communication.
Assist in developing departmental goals and the contracting plan, execute projects to achieve those goals, and monitor department performance with others in the department.
Prepare reports and presentations on contract rates, payer mix, and related topics.
Use financial reports and modeling.
Prepare internal training or educational tools related to health plan contracting.
Comply with departmental standard operating procedures for contract negotiations, modeling, and loading.
Work effectively in a matrix environment with multiple and competing customer demands.
Provide input to appropriate individuals to contribute to corporate initiatives.
Travel overnight and locally as needed.
Perform other duties as assigned.

Benefits

Paid time off (minimum 20 and up to 25 days per calendar year, depending on position and accrual)
9 observed holidays
Paid family leave
Medical coverage
Dental insurance
Vision insurance
Life insurance
Disability insurance
Healthcare FSA
Dependent Care FSA
Limited Healthcare FSA
FSAs for transportation and parking
HSA
Matching 401(k) plan
Training and opportunities for professional growth