Chief Payer Strategy Officer

3 weeks ago


Myrtle Point, Oregon, United States SCA Health Full time

About SCA Health

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SCA Health is a leading healthcare organization that operates 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care.

We participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment.

In addition to our core services, we have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.

We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, which provides easy predictable billing to patients.

The new SCA Health represents who we are today and where we are going—and the growing career opportunities for YOU.

Responsibilities

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  • Complete payer managed care contract reviews and risk assessments
  • Develop and recommend strategic contract initiatives, desirable reimbursement methodologies, and preferable managed care contract language that drive revenue growth in fee for service or value-based models with payers across numerous acquisition opportunities.
  • Partner with Payer Analytics to perform and review analytics to evaluate opportunities that will drive or detract from post-acquisition payer strategy and escalate anomalies to leaders and support services as appropriate.
  • Work cross-functionally to align payer strategy and expectations across numerous stakeholders, including teammates who will be responsible for executing on the payer strategy commitments
  • Drive Process Improvement: In the spirit of continuous improvement, partner with diligence and non-diligence stakeholder to understand and improve existing processes and tools, including project plans dashboards and the scope and detail of diligence review for all types of provider acquisitions.

Requirements

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  • Bachelor's degree required
  • 7+ years relevant work experience: Diligence, health plan contracting/healthcare operational/consulting experience, project management
  • Strong analytical skills, along with expert in Microsoft products required
  • Excellent communication skills, verbal and written
  • Demonstrated success in supporting competing, complex projects and interfacing with matrixed teams
  • Good general business acumen; capable to analyze complex business problems and provide solutions

Benefits

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  • Estimated salary: $122,100.00 - $160,000.00 per year
  • 5-10% travel required

About This Role

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This is a critical role at SCA Health, requiring a seasoned professional to lead payer strategy and execution across multiple acquisitions.

The ideal candidate will possess strong analytical skills, excellent communication abilities, and the ability to work effectively in a fast-paced environment.



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