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VP Payer Provide Collaboration

3 months ago

Teaneck, United States Regional Cancer Care Associates Full time

Description Job Title: VP Payer Provide Collaboration FLSA Status:

Exempt Hours:

Full Time SUMMARY The Healthcare Contracting Manager/Analyst will assist the Senior Management Team in managing initiatives with regard to the company’s managed care agreements and contracting. This position requires a high-energy individual with demonstrated ability to simultaneously manage multiple priorities. This position not only requires an exceptional understanding of finances for healthcare practices but also an in-depth understanding of managed care contracting. This position will have responsibility for all managed care contracting and relationships with managed care service providers. Excellent communication skills focused on executive level audiences is a necessary skill for this position. The most sweeping changes impacting the contracting between physicians and payers is taking place right now. The advent of ACOs and episodes of care and shared savings reimbursement initiatives is taking hold across the country. The Manager/Analyst will be at the forefront of these initiatives to ensure the company is perfectly positioned to take full advantage of the resulting programs. RESPONSIBILITIES AND DUTIES: · Analyzes and participates in negotiation of managed care payer contracts. · Develops, manages, and sustains relationships with CMS and managed care payers. · Manages contracts, helps set rates and reviews reimbursement levels and managed care agreements to ensure proper reimbursement using proprietary technology. · Assists in developing and managing bundled payment models. · Manages all policies and procedures for finance and accounting functions for managed care contracts. · Manages group enrollments and local credentialing functions. · Disseminates healthcare contract information and up-to-date reimbursement-related news throughout the company. · Other duties as assigned by Senior Management Team. WORKSKILLS: Familiarity with a variety of managed care reimbursement concepts, practices and procedures. Excellent written and oral communications skills required, including the ability to deliver approved messaging to executive-level audiences and adjust messages and style based on different audiences and agendas. Strong sense of prioritization and execution against critical deliverables, coupled with a sense of personal ownership for key projects. A track record demonstrating a high level of personal initiative, setting and achieving challenging goals. Proven ability to build strong, cohesive partnerships with internal and external stakeholders and work effectively in a matrix organization. Relies on experience and judgment to plan and accomplish goals. A wide degree of creativity and latitude is expected. Requirements EXPERIENCE: 4-6 years of relevant experience in a healthcare or managed care environment, strategy development or other similar roles with a healthcare service focus. Healthcare-related business experience is a plus. EDUCATION: 4-year college degree. MBA preferred but not required. PHYSICAL DEMANDS: Some travel required. Sit up to 8 hours per day, must be able to lift 10-15 lbs. occasionally. WORK ENVIRONMENT: Professional, business setting.

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