Director, Contract/Pay Relations
5 days ago
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
Benefits Highlights
- Medical: Multiple plan options.
- Dental: Delta Dental or reimbursement account for flexible coverage.
- Vision: Affordable plan with national network.
- Pre-Tax Savings: HSA and FSAs for eligible expenses.
- Retirement: Competitive retirement package to secure your future.
Responsibilities
Primarily a remote work position, however, must live within reasonable driving distance of the Arizona Mayo Clinic campus for onsite expectations.
Responsible for creating new and advancing existing strategic relationships with payers and employers that enables access to care at Mayo. Responsible for negotiating payer or specialty contracts for assigned payers or employers organizations with net medical spend of $150,000,000 or less. Serves as a key member of the CPR team with a primary focus on developing, nurturing and advancing relationships. Drafts written contract language for contracts. Responsible for coordinating with other Mayo internal administrative areas to ensure efficient implementation and ongoing maintenance of assigned contracts. Oversees interactions with external payers and employers for resolution of issues. In addition, has direct responsibility for development and execution of strategic initiatives that advance market and practice yield as approved by CPR leadership. Maintains relationship with external payers and employers; corresponds routinely, and explores opportunities to enhance the relationships. Establishes and maintains relationships with the practice and administrative leadership. Participates in developing overall department market and contract strategy for payers or employers. Participates and provides input in the development of enterprise level, regional level, and site specific strategies to maintain and grow market share, yield, and access to Mayo services. Educates Mayo leadership regarding contracts and the payer/employer market. Institutional resource on health care payer market issues.
Qualifications
Master's degree in business, healthcare or other related field required and 10 years of finance management experience with a progressive organization. In lieu of a Master's degree, a Bachelor's degree in business, finance or a related field plus twelve years' of finance management experience with progressive responsibilities.
Must have legal contract structure, content and health insurance marketplace experience. Requires a broad experience and proven knowledge of corporate benefit options, insurance industry standards, payer payment methodologies, managed care concepts, health care finance fundamentals, medical terminology, third party billing, payment and collection principles. Must have superior skills in leadership, relationship management, verbal and written communications, organization, decision making and the ability to work collaboratively with multiple disciplines internal and external to the organization. Need strong skills in managing multiple tasks concurrently. Positive attitude and strong persuasive skills needed. Direct reports will include other department personnel. Prefer experience with implementing major organizational change, including significant contract or operational redesign and other operational efficiency improvements as payer dynamics have changed. Promotes teamwork and seeks to maximize the potential of all employees. Needs or requires little direction. Is fully capable of independent thought and direction. Able to work, function, and succeed in a consensus driven, collaborative culture and work environment. Must be an individual of high energy, positive attitude, and a proven track record of getting results. Experience with or sensitivity to the uniqueness of a combined research, education and patient care setting desirable. Travel is required.
Authorization to work and remain in the United States, without necessity for Mayo Clinic sponsorships now, or in the future (for example, be a U.S. Citizen, national, or permanent resident, refugee, or asylee). Mayo Clinic does not participate in the F-1 STEM OPT extension program.
Exemption Status
Exempt
Compensation Detail
$145,225 - $210,558 / year
Benefits Eligible
Yes
Schedule
Full Time
Hours/Pay Period
80
Schedule Details
Monday - Friday; 8:00 am - 5:00 pm
Weekend Schedule
N/A
International Assignment
No
Site Description
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law" . Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
Recruiter
Miranda Grabner
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