Payer Relations & Contracting Director
Ascension

Job Info

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We Are Hiring:

Payer Relations & Contracting Director

Are you a proven Managed Care leader? Apply today!

Austin, TX

What You Will Do:

As a Payer Relations & Contracting Director with Ascension, you will have the opportunity to negotiate and review payer and direct employer contracts for the organization.

Responsibilities:

• Directs analysts in financial modeling specific to contracting efforts, ensuring negotiated outcomes meet desired objectives.
• Develops and implements strategic and operational goals and objectives.
• Makes recommendations based on changes and trends in the area of managed care, reimbursement and applicable state and federal
  regulatory environment.
• Develops and evaluates departmental and payor benchmark key performance indicators and major processes.
• Provides reports and recommendations to Ascension's senior leadership
• Is a key member of Ascension's national managed care team. Works in partnership with Ascension Medical Group, and Ascension hospitals to assess and develop infrastructure to support risk contracting and other forms of value based payments.
• Leads the development and contracting for value-based population health opportunities and new reimbursement models. Contracts include fee-for-service.
• Responsible for educating ministries on impact of changes in reimbursement methodology imposed by commercial payers and governmental agencies.
• Serves as a liaison between payers and ministry departments, hosting routine meetings with payers to resolve outstanding issues.
• Develops reports and reporting solutions specific to payer relations, managed care and contracting needs.

What You Will Need:

Education:

• High school diploma/GED with 2 years of experience, or Associate's degree, or Bachelor's degree required.
• Master's degree preferred.

Work Experience:

• 5 years of experience required.
• 10 years of experience preferred.
• 2 years of leadership or management experience required.
• 5 years of leadership or management experience preferred.

Why Join Our Team:

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As one of the leading non-profit and Catholic health systems in the U.S., Ascension is committed to delivering compassionate, personalized care to all. In FY2020, Ascension provided $2.4 billion in care of persons living in poverty and other community benefit programs. Ascension includes more than 160,000 associates and 40,000 aligned providers across a national network of ministries. We offer rewarding careers across more than 2,600 sites of care - including 146 hospitals and more than 50 senior living facilities - in 19 states and the District of Columbia.

Equal Employment Opportunity Employer:

Ascension is an equal opportunity employer (EEO) and affords equal opportunity to all associates and applicants without regard to race, color, religion, national origin, gender identity, sexual orientation, age, physical or mental disability, veteran status, genetic data, or other legally protected status.

For further information regarding your EEO rights, click on the following link to the "EEO is the Law" poster:

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf

EEO is the Law Poster Supplement

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:

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

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