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