Payer Relations Director

4 hours ago


Alpharetta, Georgia, United States USOP, LLC Full time
Job Summary

The Director of Payer Relations at USOP, LLC is responsible for leading payer contract negotiations, analysis, and credentialing efforts. This experienced leader will manage the credentialing team, partner with analysts for contract sensitivity and variance analyses, and maintain and build payer relationships.

Key Responsibilities
  • Negotiate payer contracts and agreements to ensure optimal rates and patient volumes
  • Provide leadership and organization to the internal credentialing team, ensuring equity of workloads and productivity goals
  • Serve as a subject matter expert on payer contracts, negotiations, credentialing, and value-based care
  • Develop and maintain policies and procedures related to payer contracts and credentialing
  • Organize and maintain payer contracts, fee schedules, and related documents
Requirements
  • 5-10+ years of experience in payer relations and related roles
  • 3-5+ years of managerial experience
  • Bachelor's degree or equivalent work experience
  • MSO, orthopedic, or physician practice and surgery center experience a plus

This role is based in the Alpharetta, GA office and requires up to 25% travel for practice support, networking, and in-person negotiations.


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