Director, Payor Contracting

Job description

ESSENTIAL FUNCTIONS: · Develop and maintain positive, effective relationships with internal and external customers and serve as the contracting liaison between contracted Payors and providers. · Conduct contract analysis and negotiations with Payors on behalf of providers including rates, payment methodologies, contract language and value- based payment programs in accordance with internal control processes for contract review, approval and signature. · Participate in Payor reimbursement analysis that can be routinely updated and maintained as a baseline for strategies to maximize health plan reimbursement. · Research and make recommendations to executive leadership in regard to payor contracting opportunities in new and existing geographic service area. · Ensure compliance in all business and contractual relationships · Identify and communicate trends and/or potential issues to management team. · Other duties and responsibilities as assigned. EDUCATION: · Bachelor’s Degree in Business, Finance or Healthcare Administration required. EXPERIENCE: · Proven working knowledge of provider financial issues, complex contracting options, financial/contracting arrangements and regulatory req...