Contracting and Payer Relations Executive Director

21 hours ago


Wilmington, Delaware, United States RN-Staff Full time
Job Title: Contracting and Payer Relations Executive Director

Bayhealth Medical Center, a leading healthcare provider in Central and Southern Delaware, is seeking an experienced Contracting and Payer Relations Executive Director to join our team. As a key member of our Revenue Cycle team, you will be responsible for developing and improving relationships with third-party payers, ensuring reimbursement rates are robust, and negotiating agreements to support our strategic goals.

Responsibilities:
  • Negotiate contracts with third-party payers to achieve optimal reimbursement rates and operating terms.
  • Develop and implement managed care contracting strategies to drive revenue growth and improve patient outcomes.
  • Collaborate with leadership of Delaware-based plans to discuss strategic plans and opportunities for improvement and collaboration.
  • Represent Bayhealth in state-wide meetings and participate with regional associations to advance our managed care strategy.
  • Ensure accurate and complete annual payment adjustments and create price transparency machine-readable files.
  • Serve on utilization review, level of care, and readmission committees to drive quality improvement initiatives.
Requirements:
  • Master's degree in Business Administration or a related field.
  • Minimum 10 years of contract negotiation experience with managed care organizations.
  • Certification related to the position, if applicable.

Bayhealth Medical Center offers a competitive salary and a comprehensive benefits package, including paid time off, matching 401(k)/403(b) plans, excellent health, dental, vision, disability, and life insurance options. If you are a motivated and experienced professional looking to join a dynamic team, please submit your application.



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