The Director, Contracting (West Region) is responsible for securing and maintaining optimal reimbursement rates with health plan partners. The ideal candidate will be located in the Pacific Time Zone area of the United States and have strong negotiating skills with national/regional payors.
Requirements
- Negotiate initial or renewal contractual terms and reimbursement with designated market payers
- Manage multiple concurrent negotiation activities while leveraging strong project management skills to drive progress on specific market strategies to optimize reimbursement
- Create and maintain relationships between AmSurg providers and payers related to contracting
- Facilitate updating and maintenance of consolidated contract management system for accurate tracking of reimbursement terms and conditions
- Establish regular communication and strong inter-Company relationships, while monitoring payer issues as they relate to provider participation, contract loading, payment issues in conjunction with Revenue Cycle team
- Assist in the development of departmental goals, executing projects to achieve these goals, and working closely with others within the HPR Department to continuously monitor Department performance
- Onboard acquisitions and new entities / locations to payer contracts as requested
- Develop reports and presentations by collecting, analyzing and summarizing information and trends
- In collaboration with Vice President, analyze contract performance data, conduct onsite visits with payers, clients and centers that require market specific strategies
- Ability to work in a matrix environment where multiple and competing customer demands are likely
- Facilitate internal training or educational tools as they related to health plan contracting
Benefits
- Paid Time Off
- Medical
- Dental
- Vision
- Life
- Disability
- Healthcare FSA
- Dependent Care FSA
- Limited Healthcare FSA
- FSAs for Transportation and Parking & HSAs
- 401(K) Plan
