Director of Payor Contracting
September 25
Description
• Reporting to the Vice President of Payor Contracting, the Director of Payor Contracting is responsible for implementing the Organization’s contracting strategy in multiple markets. • Own, manage, and improve the portfolio of payor FFS, VBR, and other contracts year over year. • Establish and manage mutually beneficial partnerships with selected payors within the Colorado market to improve operational and financial performance. • Lead market growth through ownership of contract negotiations for Physician, ASC, Ancillary, and other payor contracts within the Colorado market. • Work with key market leaders to help develop the organization’s overall contracting strategy. • Drive advancement of Business Development projects related to Payor partnerships. • Partner with the Market President to deliver on strategic objectives and targets. • Create a strategic framework for evaluating new Payor agreements. • Cultivate, grow, and enhance payor partnerships throughout the market. • Coordinate across internal stakeholders(i.e., Clinical Operations, Risk Analytics, Business Development, etc.) to build consensus on key contracting decisions that drive financial and operational performance, workflows, and strategic goals. • Own the payor relationship as the primary point of contact.
Requirements
• Bachelor’s degree from an accredited college • A minimum of 5-10 years of professional experience in the healthcare industry • A minimum of 3-5 years of professional experience in payor contract negotiations • Experience working with value-based contracts is strongly preferred • Experience working within an integrated healthcare system or a health insurance provider is strongly preferred
Benefits
• health insurance • dental insurance • life insurance • access to a 401k plan
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