VP, Payor Relations

RAYUS Radiology•St. Louis Park, MN

3h•$200,000 - $250,000•Remote

About The Position

RAYUS Radiology is looking for a VP, Payor Relations to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! The VP, Payor Relations is responsible for the strategic development and oversight of payor relationships, credentialing and licensing across the Company’s affiliated organizations. This role collaborates with Executive and Market leaders to develop and implement payor strategies and activities to increase revenue and improve the patient experience. The VP, Payor Relations is also responsible for the management and leadership of the payor relations and credentialing teams. This role is remote, working M-F with less than 25% travel.

Requirements

High School Diploma, or equivalent
Bachelor's degree in healthcare, management, finance, accounting, or a related, relevant and applicable field
Ten (10) years’ of demonstrated success in healthcare management or in the managed care industry
Seven (7) years’ experience in contractual, administrative, health insurance and operational issues related to payors, managed care organizations, physician groups, hospitals and health insurance benefit plan design
Expert level skills in Microsoft Excel modeling and in developing Microsoft Word, PowerPoint or similar presentation materials
Some travel is required between sites; a reliable means of transportation is required.

Nice To Haves

Master’s degree in Business Administration (MBA) or in Healthcare Administration (MHA)

Responsibilities

Payor Strategy Development and Oversight
Oversee the development, negotiation, implementation, monitoring and management of a comprehensive, market based national payor strategy
Ensure alignment of payor programs with the company’s strategic business initiatives
Partner with senior leadership to evaluate and recommend strategic parameters and reimbursement methodologies relevant to our service lines to improve revenue and market position
Facilitate the development and promotion of the Company’s value proposition to payors
Develop Key Performance Indicators (KPIs’) to influence sound decision making ability
Direct and oversee the review and analysis of contract proposals and renewals, key operating terms, contracting alternatives, reimbursement trends, and other payor related activities
Establish and monitor national and market-specific payor metrics
Team Leadership
Define job and strategic priorities of team members who directly report to this role.
Facilitates and participates in hiring and onboarding of new team members
Initiate and participate in team member development, including coaching, performance evaluations, career path, compensation recommendations, performance improvement plans, disciplinary actions, and/or terminations
Proactively schedule and lead regular team meetings and team member 1:1s.
Proactively ensure the payor team members function as a team
Ensure compliance with all HIPAA Guidelines, new payor contracts, recredentialing, and revenue cycle management (RCM) policies and procedures
Completes Other Duties and Projects as Assigned