About The Position

Summary: Oversees payer revenue strategy and contracting for one or more assigned markets or strategic business segments, leading or participating in direct payer negotiations to achieve targets.

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. Must demonstrate ability to create content and solutions that can be executed at scale, demonstrate/articulate ROI.

Responsibilities

  • Formulates and implements contracting strategies for assigned geographic market(s) or assigned business segment(s) in Government Managed Care, Specialty/Horizontals, or Value-Based contracting.
  • Leads or participates in payer negotiation processes and major payer relations discussions.
  • Builds knowledge of assigned market(s) or segment(s) including Ascension’s delivery footprint and the payer and competitive environment. Serves as a member of the Market or business segment’s Leadership team.
  • Works to support and integrate with market or segment business plans and long-term strategies.
  • Monitors and analyzes payer net revenue financial performance in assigned market(s) or segment(s) in collaboration with ADSI Analytics, RCM/R1, and the Managed Care Payer Performance team.
  • Holds accountability to contribute to setting and achieving budget and three-year targets for payer lifts and revenue growth.
  • Oversees the design of development and implementation of value based care models and plans

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

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

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service