Healthcare Outcomes Performance Co. (HOPCo) logo
Healthcare Outcomes Performance Co. (HOPCo)

HOPCo is the leading provider of musculoskeletal value-based health outcomes, service line and practice management.

Director, Payor Contracting

DirectorDirectorFull TimeRemoteLeadTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn

Location

Arizona

Posted

81 days ago

Salary

0

Seniority

Lead

Bachelor Degree5 yrs expEnglish

Job Description

Director, Payor Contracting

Healthcare Outcomes Performance Co. (HOPCo)

• Develop and maintain positive, effective relationships with internal and external customers and serve as the contracting liaison between contracted Payors and providers. • Conduct contract analysis and negotiations with Payors on behalf of providers including rates, payment methodologies, contract language and value- based payment programs in accordance with internal control processes for contract review, approval and signature. • Participate in Payor reimbursement analysis that can be routinely updated and maintained as a baseline for strategies to maximize health plan reimbursement. • Research and make recommendations to executive leadership in regard to payor contracting opportunities in new and existing geographic service area. • Ensure compliance in all business and contractual relationships • Identify and communicate trends and/or potential issues to management team. • Other duties and responsibilities as assigned.

Job Requirements

  • Bachelor’s Degree in Business, Finance or Healthcare Administration required.
  • 5-7 years related experience and comprehensive level of negotiating skills with successful track record negotiating contracts with payors.
  • Familiarity with managed care products and services, medical cost trend analysis, including analysis of physician contracts, utilization, and costs.
  • Must have prior experience working with managed care contracting modeling.
  • Must be able to problem solve and come forward with recommendations.
  • Must be able to stay on task with minimal supervision.
  • Strong verbal and written communication skills.
  • Strong organizational skills and careful attention to detail
  • Advance computer skills.
  • Knowledge of payor reimbursement.
  • Managed care contracting.
  • Market and industry knowledge.
  • Excellent critical thinking, troubleshooting, and analytical skills.

Benefits

  • Normal office environment
  • Some travel within community

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