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3 часа назад

Remote Reg Dir Payer Strat & Contract (Healthcare Finance)

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
director
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Remote Regional Director, Payer Strategy & Contracting (Healthcare Finance): Developing managed care and commercial payer strategies, negotiating regional contracts, and implementing payer programs across hospitals and Revenue Excellence with an accent on reimbursement methodologies, payer performance, and contract compliance. Focus on leading payer negotiations, building executive and payer relationships, managing corrective actions, and mentoring regional contracting staff.

Location: Remote, Clive, Iowa, 50325, United States

Company

hirify.global is a healthcare organization serving communities through compassionate, person-centered care.

What you will do

  • Develop and execute managed care and commercial payer strategies with regional hospital CEOs and CFOs.
  • Negotiate regional payer contracts using consistent language and reimbursement methodologies aligned with hospital strategies.
  • Implement managed care contracts, payer policy updates, monitoring programs, and denial management initiatives.
  • Monitor payer financial and operational performance and lead corrective actions, improvement activities, and pay-for-performance initiatives.
  • Build relationships with hospital, Revenue Excellence, System Office, Legal, and payer senior leadership.
  • Manage and mentor regional payer contracting staff, prepare budgets, and oversee resources.

Requirements

  • Bachelor’s degree in business administration or a related area.
  • Eight to ten years of healthcare experience, including significant managed care and payer experience.
  • Comprehensive knowledge of healthcare finance, managed care, and insurer contracting.
  • Proven contract negotiation skills and strong analytical, written, and verbal communication skills.
  • Ability to work effectively in a collaborative, shared-leadership environment.
  • Integrity-driven leadership style with the ability to motivate and inspire others.

Nice to have

  • Master’s degree in business administration or health administration.
  • Professional certification such as FHFMA, FACHE, or FAHM.

Culture & Benefits

  • Full-time employment.
  • Work aligned with hirify.global’s mission and core values.
  • Commitment to dignity, inclusion, integrity, stewardship, and compassionate care.
  • Equal opportunity employment in accordance with applicable federal, state, and local law.

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