About The Position

The position is within the Payor Contracting and Relation department at Ascension, located in Nashville, TN. This is a full-time role with an 8-hour day shift from Monday to Friday, and it is onsite. The primary focus of this role is to oversee payer revenue strategy and contracting for assigned markets or strategic business segments. The individual will be responsible for formulating and implementing contracting strategies, overseeing the design and implementation of value-based care models, leading payer negotiation processes, and monitoring payer net revenue financial performance.

Requirements

  • High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management OR Associate's degree/Bachelor's degree with 3 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management.

Nice To Haves

  • Demonstrated ability to hear differing perspectives, influence, and gain consensus.
  • Highly developed communication and collaboration skills.
  • Strategic thinking and analytical skills.
  • Understanding of the human centered approach to change and program implementation.
  • Innovative mindset, data-driven problem solver.
  • Ability to prioritize tasks and delegate them appropriately.
  • Demonstrate ability to create content and solutions that can be executed at scale.
  • Demonstrate/articulate ROI.

Responsibilities

  • Oversee payer revenue strategy and contracting for one or more assigned markets or strategic business segments.
  • Formulate and implement contracting strategies for assigned geographic market(s) or assigned business segment(s) in government managed care, specialty/horizontals, or value-based contracting.
  • Oversee the design and implementation of value based care models and plans.
  • Lead or participate in payer negotiation processes and major payer relations discussions.
  • Maintain knowledge of assigned market(s) or segment(s) including the organization's delivery footprint and the payer and competitive environment.
  • Support and integrate business plans and long-term strategies for assigned markets.
  • Monitor and analyze payer net revenue financial performance in assigned market(s) or segment(s) in collaboration with other teams.
  • Accountable for setting and achieving budget targets for payer lifts and revenue growth.

Benefits

  • Paid time off (PTO)
  • Various health insurance options & wellness plans
  • Retirement benefits including employer match plans
  • Long-term & short-term disability
  • Employee assistance programs (EAP)
  • Parental leave & adoption assistance
  • Tuition reimbursement
  • Ways to give back to your community

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Industry

Religious, Grantmaking, Civic, Professional, and Similar Organizations

Education Level

Bachelor's degree

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