2 дня назад
Regional Director of Payer Strategies (Healthcare)
176 596 - 291 384$
Мэтч & Сопровод
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Описание вакансии
Текст:
TL;DR
Regional Director of Payer Strategies (Healthcare): Developing and executing managed care and commercial payer strategies, negotiating regional payer contracts, and implementing contract and reimbursement programs with an accent on healthcare finance, payer performance, and hospital revenue optimization. Focus on managing payer relationships, monitoring financial and operational performance, leading pay-for-performance initiatives, and mentoring regional contracting staff.
Location: Full-time remote position associated with locations in Clive, Des Moines, and Davenport, Iowa, and Walker, Michigan, United States
Salary: $176,596–$291,384 annually
Company
provides compassionate, person-centered healthcare services and operates through hospitals and regional health ministries.
What you will do
- Develop and execute managed care and commercial payer strategies with regional hospital CFOs and CEOs.
- Negotiate payer contracts using consistent language and reimbursement methodologies aligned with regional strategies.
- Implement managed care contracts, payer policy changes, monitoring programs, and denial management programs across hospitals and Revenue Excellence.
- Monitor payer financial and operational performance, compliance, corrective actions, and improvement initiatives.
- Build relationships with payer and hospital senior leadership, identify collaboration opportunities, and serve as the liaison between hospitals and payers.
- Prepare payer reporting packages, develop market profiles, lead pay-for-performance initiatives, and manage regional payer contracting staff and budgets.
Requirements
- Bachelor’s degree in Business Administration or equivalent knowledge of healthcare finance, managed care, and insurer contracting.
- Eight to ten years of healthcare experience, including substantial experience working with managed care and other payers.
- Proven contract negotiation knowledge and skills.
- Strong analytical, written, and verbal communication skills.
- Ability to work effectively in a collaborative, shared-leadership environment.
- Ability to maintain compliance with applicable federal, state, and local laws and healthcare regulations.
Nice to have
- Master’s in Business Administration or Health Administration.
- Professional certification such as FHFMA, FACHE, or FAHM.
Culture & Benefits
- Full-time remote work arrangement.
- Leadership grounded in reverence, justice, stewardship, integrity, and commitment to vulnerable communities.
- Collaborative environment focused on compassionate, person-centered care.
- Equal opportunity employment.
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