VillageMD
Director of Payor Contracting
VillageMD, Austin, Indiana, United States, 47102
About Our Company
We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.
Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.
Job Description Reporting to the Vice President of Payor Contracting, the Director of Payor Contracting is responsible for implementing the Organization’s contracting strategy in multiple markets. The Director of Payor Contracting will utilize knowledge of fee-for-service contracting and reimbursement methods to assist the organization in achieving its strategic goals.
Essential Job functions:
Lead contract negotiations for Physician, ASC, and Ancillary contracts
Work with key leaders (VP, SVP, CFO, etc.) to help develop the organization’s overall contracting strategy.
Support Business Development projects as they relate to the Payor relationships
Create a strategic framework for evaluating new Payer agreements
Develop and maintain payor relationships in new markets
Work with internal teams (i.e., Clinical Operations, Risk Analytics, Business Development, etc.) to build consensus on key contracting decisions that impact workflows and strategic goals in those areas.
Serve as the primary point of contact with Payors on proposed agreements.
General Job functions:
Strong relationship management skills, with both internal and external parties
Strong communication skills (verbal, written, presentation)
Ability to manage multiple priorities and short deadlines
Key Competencies:
Detailed knowledge and understanding of contract language
Familiarity with Value-Based Care concepts
Experience working across key internal stakeholders: Clinical Operations, Legal, Finance, Risk Analytics, etc
Ability to succinctly summarize complex agreements into key decision points and impacts
Experience building consensus at the Executive level
Working knowledge of Medicare, Medicaid, and Workman’s Compensation
Education, Certification, Computer and Training Requirements:
Bachelor’s degree from an accredited college
A minimum of 5-10 years of professional experience in the healthcare industry
A minimum of 3-5 years of professional experience in payor contract negotiations
Experience working with value-based contracts is strongly preferred
Experience working within an integrated healthcare system or a health insurance provider is strongly preferred
For Colorado Residents only: This is an exempt position. The base compensation range for this role is $120,000 - $155,000. At VillageMD, compensation is based on several factors including but not limited to education, work experience, certifications, location, etc. The selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan.
Equal Opportunity Employer Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.
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Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.
Job Description Reporting to the Vice President of Payor Contracting, the Director of Payor Contracting is responsible for implementing the Organization’s contracting strategy in multiple markets. The Director of Payor Contracting will utilize knowledge of fee-for-service contracting and reimbursement methods to assist the organization in achieving its strategic goals.
Essential Job functions:
Lead contract negotiations for Physician, ASC, and Ancillary contracts
Work with key leaders (VP, SVP, CFO, etc.) to help develop the organization’s overall contracting strategy.
Support Business Development projects as they relate to the Payor relationships
Create a strategic framework for evaluating new Payer agreements
Develop and maintain payor relationships in new markets
Work with internal teams (i.e., Clinical Operations, Risk Analytics, Business Development, etc.) to build consensus on key contracting decisions that impact workflows and strategic goals in those areas.
Serve as the primary point of contact with Payors on proposed agreements.
General Job functions:
Strong relationship management skills, with both internal and external parties
Strong communication skills (verbal, written, presentation)
Ability to manage multiple priorities and short deadlines
Key Competencies:
Detailed knowledge and understanding of contract language
Familiarity with Value-Based Care concepts
Experience working across key internal stakeholders: Clinical Operations, Legal, Finance, Risk Analytics, etc
Ability to succinctly summarize complex agreements into key decision points and impacts
Experience building consensus at the Executive level
Working knowledge of Medicare, Medicaid, and Workman’s Compensation
Education, Certification, Computer and Training Requirements:
Bachelor’s degree from an accredited college
A minimum of 5-10 years of professional experience in the healthcare industry
A minimum of 3-5 years of professional experience in payor contract negotiations
Experience working with value-based contracts is strongly preferred
Experience working within an integrated healthcare system or a health insurance provider is strongly preferred
For Colorado Residents only: This is an exempt position. The base compensation range for this role is $120,000 - $155,000. At VillageMD, compensation is based on several factors including but not limited to education, work experience, certifications, location, etc. The selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan.
Equal Opportunity Employer Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.
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