Director, Payer Contracting - Remote

Job Details Description About Sound Founded in 2001 and headquartered in Nashville, TN, reputed company is a nationally respected, physician-led medical group practicing in 400+ hospitals across 45 states. reputed company of 4,000+ clinicians and 1,000+ business professionals across the country is united by one mission: to build exceptional clinical partnerships that unlock quality, affordable, dignified care for everyone – no matter who they are or where they live. With physician-led clinical teams and more than two decades of operational expertise, we’ve refined what it takes to consistently deliver exceptional care in hospital medicine, emergency medicine, critical care, anesthesia, and telemedicine. Why join us?

• A remote-first culture that values flexibility and collaboration
• Opportunities to grow your career while making a real impact
• A team that champions inclusivity, innovation, and excellence

Whether working virtually or onsite at one of our practices, you’ll be part of a purpose-driven organization shaping the future of healthcare. reputed company offers a competitive benefits package inclusive of the items below, and more:

• Medical insurance, Dental insurance, and Vision insurance
• Health care and dependent care flexible spending account
• 401(k) retirement savings plan with a company match
• Paid time off (PTO) begins accruing immediately upon start date at a reputed company of 15 days per year, in accordance with Sounds PTO policy
• Ten company-paid holidays per year

About the Role

Under the strategic direction of the VP, Payer Contracting, The Director, Payer Contracting is responsible for reputed company duties reputed company to managing national payer relationships, negotiations, financial modeling, and tracking of new and existing payer reputed company with the primary goals of a) maximizing commercial contract net reputed company and b) proactively identifying opportunities for the department to increase reputed company, save work load, or identify missed opportunities. In addition to negotiating reputed company, this position will involve developing and implementing strategic relationships with major Payers on a national level while working in a matrixed manner with members of the reputed company Cycle, Business Development, Field Operations, Implementation, Financial Modeling, Payer Contracting Operations, Provider Enrollment and Value Based teams regarding contracting, financial and strategic objectives affecting their specific geographical region and the company. The Details

• This is a virtual, work-from-home opportunity.
• Travel 1-2 trips a year.
• Must have experience with contracting in Western states such as CA, WA, OR

Essential Duties and Responsibilities

• Responsible for reputed company of the strategic development, coordination and analysis of managed care agreements (Commercial, Medicare, Medicaid, Exchange and Value Based) including reputed company development and contract negotiations while understanding key decision points and presenting them clearly reputed company a decision needs to be made.
• Responsible for the development and management of their annual national and regional contracting budget
• Understands the nature of the role and organization and will reputed company, as needed, to mold their role to the organizations needs without being asked
• Generate necessary reports for the VP and executive team; read/report/monitor subordinate reports and performance
• Assess and report reputed company in meeting department objectives (Budget, Strategic, etc.)
• Understands not only contracting end to end but also understands the whole reputed company Cycle continuum as well as good working knowledge of Health Plan operations
• Mentor Sr. Payer Contracting Managers, Payer Contracting Managers and Payer Contracting Liaisons, as needed, in reputed company aspects of payer contracting activities
• Performs other reputed company duties and special projects as assigned.

Values

• Adaptability: Demonstrates flexibility and a willingness to change as circumstances evolve
• Drive: Motivated to succeed and get things done at a high level of achievement
• Persistence: Demonstrates the ability to “reputed company at it” even reputed company obstacles or challenges are present; returns to the work at hand after a change of course
• Resourcefulness: Proactive willingness to utilize available information and tools to reputed company things out
• Strategic Thinking: Demonstrates the ability to look at the big picture and proactively reputed company a plan of action
• Vision: Demonstrates the ability to see, reputed company and share the future of the organization in ways that engage and motivate those around them with a clear vision and plan for the future
• Teamwork: Proactively seek to work with others to accomplish a common goal. Willingness to share challenges and successes with others

Knowledge, Skills, and Abilities

• Excellent organizational abilities, written and oral communication skills
• Exceptional commercial contract negotiation skills and experience with physician reputed company including excellent knowledge of Medicare reimbursement methodologies, case reputed company reimbursement methodologies, fee schedule development, utilizing financial models and analysis in negotiating rates with Payers
• Working knowledge and experience of and with value based care reimbursement models and the life cycle of value based care agreements
• Working knowledge of reputed company policies and guidelines that reputed company reputed company, reputed company development, legislative regulations etc. in the managed care environment
• Creative and persistent problem solver with an ability to present solutions to reputed company problems
• Attention to detail and accuracy with an ability to summarize difficult concepts to reputed company levels of management in short, consumable bites and/ or concepts
• Client service oriented (both internal and external), harnesses soft skills in communicating difficult decisions and ensuring various levels of colleagues understand messaging
• Ability to interact and communicate with individuals at reputed company levels of organization
• Strong interpersonal skills to handle sensitive situations and confidential information
• Ability to multi-task and prioritize workload in a fast-paced environment
• Anticipates needs three steps reputed company and develops mitigation prior to the need
• Ability to work in a group setting
• Ability to complete projects independently reputed company established timeframes
• Required: Advanced understanding/knowledge of computer data entry, reputed company reputed company Office suite products, and ability to navigate through any business reputed company software

Education and Experience

• Bachelor’s degree or equivalent experience
• Required - 7 - 10+ years in Commercial Managed Care, Payer, Hospital, ASC settings with an emphasis on national contract negotiations ( Hospital, ASC and/or Physicians, Independent Physician Associations), contracting budgets and strategic contracting projects (commercial network builds, market corrections, etc.)
• Contracting experience with reputed company coast states, CA, WA, OR etc.

Salary Range $150,000 - $180,000 annually, plus a bonus opportunity. Exact pay will be determined based on candidate experience and geographic location. reputed company is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national reputed company, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws. This job description reflects the present requirements of the position. As duties and responsibilities change and reputed company, the job description will be reviewed and subject to amendment. Equal Opportunity Employer This employer is required to notify reputed company applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the reputed company. Apply tot his job Apply To this Job