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Director

Company: RWJBarnabas Health
Location: Somerville
Posted on: September 12, 2020

Job Description:

We're looking for a candidate to fill this position in an exciting company.

Reports to the CFO, Combined Medical Group

Serves as member of company; provides support and seeks consistent guidance from committee members regarding strategic direction and priorities.

Fosters professional relationships with private and public payor management representatives and serves as the principal liaison between company and payors regarding contract changes and dispute resolution.

Works in close collaboration with respective practice division leadership and company leadership to ensure that the needs of each practice division are being met, while balancing the overall demands of company as an integrated practice.

Represents the interests of company in managed care related discussions with affiliated health systems as appropirate.

Fosters relationships with company department chairs and faculty, clinical administrators, and other company  executives.

Bachelor s degree in business, healthcare administration, or related field; master s degree (MA) equivalent preferred.

A minimum of ten years of managerial experience in managed care environment, health insurance industry, or managed care product development/negotiations, preferably in a faculty group practice setting.

Extensive experience with contract negotiations and payor relations, as well as demonstrated knowledge of legal, regulatory, and operational aspects of managed care including contract management compliance and performance analysis.

Experience and familiarity with physician/professional service compensation, fee schedules, and resource-based relative value scale ( company  - based reimbursement.

Experience and understanding of new and evolving value-based payment arrangements, such as capitation, shared savings, and payment bundles.

Solid understanding of patient accounting tasks including billing, collections, and reimbursement analysis.

A track record of success working in an environment of collaboration, transparency, mutual respect, and shared passion for excellence and innovation.

The ability to plan, organize, prioritize, allocate resources, and manage multiple ongoing, concurrent projects.

The ability to express oneself clearly and concisely both orally and in writing with staff, physicians, and management personnel both within the organization as well as the payor community.

Keywords: RWJBarnabas Health, Somerville , Director, Other , Somerville, Massachusetts

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