Regional Vice President of Network Payor and Relations
16 hours ago
Nova Medical Centers, a leading occupational medicine provider, seeks a Regional Vice President of Network and Payor Relations to foster deep relationships with key network/payor and critical third-party decision makers. This role requires a proven track record in outside sales and account management in the workers' compensation managed care industry. The ideal candidate will possess the ability to promote service-line benefits, educate and influence network/payor relationships, and expand third-party contacts within the industry.
Key Responsibilities:
Foster deep relationships/partnerships with key network/payor and critical third-party decision makers.
Maintain ongoing relationships with networks/payors while identifying new contacts to expand and enhance existing relationships.
Partner with and participate in business development efforts and evaluation of expansion feasibility, including proactive payor discussions.
Assist leadership in developing overall network/payor strategy in new and emerging markets in the Region.
Work professionally and collaboratively, as the network/payor expert, to promote Nova Medical Centers' service offerings in the Region.
Provides network/payor support to sales and marketing.
Takes lead in coordinating resolution of network/payor issues.
Maintains up-to-date competitive information, including: network participation, network reimbursement, provider incentive arrangements, medical and utilization management practices, technology, and electronic communication methods used.
Knowledge and understanding of managed care policies and practices that meet local, state, and federal regulatory requirements.
Establish strong and supportive working relationships with other Nova departments/divisions.
Performs other duties as assigned.
Must live within Georgia or Tennessee.
Remote work.
Must have a minimum of five (5) years of full-time experience in workers' compensation managed care industry.
Must have a bachelor's degree from an accredited university.
Should have relationships with carriers, TPAs, and brokers in workers' compensation industry.
Requirements:
Minimum of five (5) years of full-time experience in workers' compensation managed care industry.
Bachelor's degree from an accredited university.
Relationships with carriers, TPAs, and brokers in workers' compensation industry.
Preferred Skills:
Knowledge of Workers Compensation laws and regulations as well as managed care practices.
Excellent oral and written communication, including presentation skills.
PC literate, including Microsoft Office products.
Leadership/management/motivational skills.
Analytical and interpretive skills.
Strong organizational skills.
Excellent interpersonal skills.
Experience in successful conflict resolution and relationship management.
Demonstrated ability to work independently and as a member of a team.
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Atlanta, Georgia, United States Nova Medical Centers Full timeJob Title: Regional Vice President of Network Payor and RelationsAbout Nova Medical Centers:Nova Medical Centers is a leading provider of occupational medicine services, operating in multiple states across the country. Our commitment to delivering exceptional care and services has earned us a reputation as the nation's largest 100% pure workers' compensation...
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