Ascension Health Director of Payor Relations & Contracting in Birmingham, Alabama

Job ID: 259296

Director of Payor Relations & Contracting

Birmingham, Alabama

Regular/Day

Additional Job Information

Title: Director of Payor Relations & Contract

City, State: Birmingham, AL

Location: ALBIR 806 St Vincent's Health

Department: Managed Care Contracting 001

Additional Job Details: FT Days

About Us

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As the largest non-profit health system in the U.S. and the world’s largest Catholic health system, Ascension is committed to delivering compassionate, personalized care to all, with special attention to persons living in poverty and those most vulnerable. In FY2017, Ascension provided more than $1.8 billion in care of persons living in poverty and other community benefit programs. Ascension includes approximately 165,000 associates and 34,000 aligned providers. Ascension’s Healthcare Division operates more than 2,600 sites of care – including 153 hospitals and more than 50 senior living facilities – in 22 states and the District of Columbia, while its Solutions Division provides a variety of services and solutions including physician practice management, venture capital investing, investment management, biomedical engineering, facilities management, clinical care management, information services, risk management, and contracting through Ascension’s own group purchasing organization.

Job Description

Job Summary:

The Director of Payor Relations & Contract manages proposed managed care agreements and fee schedules.

Responsibilities:

  • Analyzes all proposed managed care contracts and associated documents.

  • Analyzes proposed fee schedules, negotiates financial terms and contract language of managed care contracts.

  • Plans, organizes and directs all activities related to staffing, including hiring, orienting, evaluating, disciplinary actions and continuing education initiatives for managed care associates.

  • Assists in the development of a five year strategic plan for all insurance and value based initiatives across ministries. Monitors strategic plan for key milestones and works with Managed Care Regional Leads to ensure initiatives are met within specific timeliness.

  • Projects and manages contracting initiatives and works with Managed Care Regional Leads to ensure goals and objectives are met.

  • Engages in negotiations to ensure deliverables are met in a timely manner.

  • Assists in the maintenance and development of strategy and financial reporting requirements, as needed.

  • Assists in developing presentation materials for internal and external meetings. This involves developing content for managed care strategies and major project initiatives.

  • Conducts ongoing assessment and investigation of managed care payments and operational issues.

  • Communicates results of information gathered, trends, concepts and processes to facilitate education, problem resolution and operational improvement.

  • Responsible for educating ministries on the impact of changes in reimbursement methodology imposed by commercial payers and governmental agencies.

  • Supports the development of population health opportunities and alternative reimbursement models.

Qualifications

Education:

  • Bachelor’s degree in Business or healthcare.

  • Masters preferred.

Work Experience:

  • Five (5) years demonstrated experience and success in contract negotiation and administration is required.

Equal Employment Opportunity

Ascension Health is an EEO/AA employer: M/F/Disabled/Vet. For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:

http://www1.eeoc.gov/employers/upload/eeocselfprint_poster.pdf ”

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

Ascension Health participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

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