Director of Payor Contracting

4 weeks ago

Tulsa, Oklahoma, United States Innovative Renal Care Full time
Job Summary

The Director of Payor Contracting is responsible for overseeing all contracts and contract administration, performed by the Payor Contracting team. This individual will utilize a strong knowledge of business procedures to actively manage the Contracting department.

Key Responsibilities
  1. Oversee organizational contract development and management activities, and enforce organizational principles of integrity and compliance.
  2. Review Accounts Receivable revenue and determine areas of need for new or updated insurance contracts.
  3. Research and determine ownership and affiliations of insurance companies.
  4. Build and maintain relationships with insurance company contractors.
  5. Make recommendations for pursuing new or updated contracts.
  6. Approve standards for contracts, including presentation of payment terms, general language and provisions, as developed by the Manager.
  7. Develop guidance for department on negotiation strategies that minimize potential losses and benefit the organization's financial performance.
  8. Identify opportunities to create efficiencies and add value to the Contracting team, initiate process changes to improve and streamline where necessary.
  9. Manage large-scale projects in support of department and company initiatives.
  10. Assist staff in developing contract negotiations skills and assist in negotiations when necessary.
  11. Oversee and monitor completion of contracts by the Contracting team, and provide final approval on completed contracts.
  12. Review contracts and applications for accuracy and provide resolution for any questions.
  13. Perform additional tasks, duties and projects as requested.
Supervisory Responsibility

This position has overall supervisory responsibility for staff members in the Payor Contracting department. The Director monitors and manages the overall performance of staff members, including disciplinary action, performance reviews, annual increases, and promotions.

Requirements
  • Bachelor's degree in Business Administration or Healthcare Administration required; Master's degree preferred, or equivalent combination of education and experience.
  • 7-10 years of contracting experience within the healthcare industry.
  • 3-5 years of management or supervisory experience. Demonstrated ability to train and develop staff, applying applicable knowledge and experience.
  • Proficiency in Microsoft Office and Adobe applications required.
  • Ability to work with and maintain sensitive and confidential information required.
  • Ability to utilize tactful and professional written and oral communication.
Equal Opportunity Employer

Innovative Renal Care is an equal opportunity employer and a drug free workplace. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability, or protected veteran status.

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