Director, Payer Relations (32413) in Southlake, Texas at GI Alliance
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Job Description
Job DetailsJob Location: Hybrid • GIA Cedar Ridge Admin - Southlake, TX 76092
Position Type: Full Time
Job Shift: Day
Description
Description
GI Alliance is seeking an experienced Director of Payer Relations.
Duties of this position include, but are not limited to, the following:
Responsibilities:
This position is responsible for supporting the Executive Director in the contractual life cycle of assigned payer agreements via the negotiation, renegotiation, monitoring and maintenance of the paper and the development and management of associated payer contact relationships.
This position has a strong understanding of payer contract language and supports negotiations to yield favorable contractual terms and rates in alignment with organizational business and financial needs
The Director, Payer Relations contributes to the overall strategic direction of the department through an understanding of payer rates and reimbursement structure and associated impact to overall financial performance, payer market dynamics and market share, and how payers acquire and are awarded new business across all financial classes
Monitors, and maintains all managed care payer contracts in a transparent, centralized location that is accessible
Completes education and training to various internal parties, including administrative and clinical staff, regarding new or updated contract requirements
This position is responsible for supporting the Executive Director in the contractual life cycle of assigned payer agreements via the negotiation, renegotiation, monitoring and maintenance of the paper and the development and management of associated payer contact relationships.
This position has a strong understanding of payer contract language and supports negotiations to yield favorable contractual terms and rates in alignment with organizational business and financial needs
The Director, Payer Relations contributes to the overall strategic direction of the department through an understanding of payer rates and reimbursement structure and associated impact to overall financial performance, payer market dynamics and market share, and how payers acquire and are awarded new business across all financial classes
Monitors, and maintains all managed care payer contracts in a transparent, centralized location that is accessible
Completes education and training to various internal parties, including administrative and clinical staff, regarding new or updated contract requirements
Qualifications:
5 years healthcare experience, including 3 years of managed care experience in a managed care organization
Experience negotiating contracts directly with Payors required
Knowledgeable of healthcare provider operations
5 years healthcare experience, including 3 years of managed care experience in a managed care organization
Experience negotiating contracts directly with Payors required
Knowledgeable of healthcare provider operations
GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background.
Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.
NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.
No phone calls or agencies, please.
EEO/AA-M/F/disabled/protected veteran