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HumanHire
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Vice President of Payor Relations
2500 Maitland Center Pkwy , Suite 250 Maitland, FL 32751 US
Posted: 11/05/2024
2024-11-05
2025-01-10
Employment Type:
Direct Hire
Job Category: Finance & Accounting
Job Number: 9736
Job Description
HumanHire is partnered with a reputable outpatient facility seeking a highly skilled and experienced Vice President Payor Relations to oversee and manage their payer contracting activities and provider relationships. This position plays a key role in ensuring the effective negotiation, review, and maintenance of payer contracts while fostering strong relationships with payers, health plans, and providers.
They Offer:
Payer Contracting & Relationship Management:
Contract Negotiations & Performance:
Collaboration & Reporting:
Team Development & Leadership:
They Offer:
- Salary up to $210,000 and a 25% bonus!
- Hybrid work flexibility – 2 days work from home!
- Great benefits; 401k, Medical, Dental, Vision, and more!
- Stability within an established and growing organization.
Payer Contracting & Relationship Management:
- Build and maintain strong relationships with third-party payers, providing education on Medication Assisted Treatment (MAT) and its dynamics.
- Lead and manage contract enrollment, credentialing, and recredentialing processes.
- Oversee the creation and implementation of new health plan contracts, providing interim activity reports as needed.
- Manage the timely renewal, revalidation, and renegotiation of contracts; develop and maintain a contract tracking system to ensure all contracts are reviewed and renewed on schedule.
- Continuously monitor the payer landscape through industry assessments and reports to identify opportunities for strategic growth.
Contract Negotiations & Performance:
- Act as the main point of contact for all payer contract negotiations.
- Support the negotiation, implementation, and performance tracking of value-based contracts, ensuring alignment with both financial and quality objectives.
- Partner with the Revenue Cycle Operations team and other key stakeholders to develop and enforce guidelines, policies, and best practices for payer/provider interactions.
Collaboration & Reporting:
- Collaborate with the Audit & Analyst team to evaluate and respond to payment proposals, as well as develop financial models and analysis tools.
- Work with the Senior Vice President of Revenue Management to address and resolve complex payer-related issues.
- Design and implement key performance indicators (KPIs) to track contract performance and ensure that turnaround times and service levels are met.
Team Development & Leadership:
- Supervise, mentor, and develop a team of up to three direct reports, including Credentialing Coordinators, Contract Administrators, and Revenue Cycle Management Analysts.
- Cultivate a collaborative team culture that promotes continuous learning, knowledge sharing, and cross-functional cooperation.
- Set clear performance expectations, address challenges, and ensure the timely completion of department objectives.
- Bachelor’s degree in Business, Healthcare Administration, or a related field.
- Proven experience in payer contracting, provider relations, and managed care operations.
- Previous leadership experience managing teams in a healthcare or insurance environment.
- Strong understanding of payer contract structures, enrollment processes, and reimbursement methodologies.
- Exceptional communication skills, both written and verbal, with the ability to negotiate and resolve disputes.
- Ability to analyze complex contract terms, financial data, and performance metrics.
- Proficiency in using contract management systems, databases, and Microsoft Office Suite (Excel, Word, PowerPoint).
- Experience in Medicaid, Medicare, and commercial payer environments a plus.
- High degree of professionalism, confidentiality, and attention to detail.
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Explore exciting job opportunities in the vibrant area around Maitland, Florida! Nestled in the heart of the Sunshine State, Maitland offers a perfect balance of work and play. This charming town boasts picturesque parks like Lake Lily Park and the captivating Maitland Art Center, providing a rich cultural tapestry for residents and visitors alike. With easy access to Orlando's world-renowned theme parks, buzzing nightlife, and professional sports teams like the Orlando Magic, working in Maitland opens doors to endless growth and entertainment possibilities. Embrace the unique blend of art, outdoor recreation, and delectable cuisine in this bustling area – start your job search today and discover the exciting career possibilities that await you!
516-303-7700
200 Broadhollow Road
Suite 400
Melville, NY 11747