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AMSURG · 7 hours ago

Vice President, Contracting – West

United States

Full-time

Remote

Director/Executive

11+ years exp

AMSURG is a nationally recognized leader in the strategic and operational management of ambulatory surgery centers. The Vice President of Contracting will manage a payer portfolio for contracting and strategy, advance key initiatives, and develop strategic payer relationships while leading a team to grow managed care revenue.

Health CareHealth DiagnosticsMedical

Responsibilities

Overall management of the Western division’s managed care portfolio, responsible for achieving defined growth targets and objectives

Lead and direct a team of contractors to meet departmental and individual goals and objectives

Advance enterprise initiatives and integration by working cross functionally within the organization

Provide leadership to the integration of new joint ventures, affiliations, and partnership arrangements within the department and organization

Assess and review risks and opportunities across the enterprise related to payment reform, bundled payments, value-based payments, etc

Develop tools and techniques that advance pricing and rate objectives

Help establish and execute on contracting guidelines with respect to third party payer contractual terms, reimbursement, provider enrollment and product participation

Negotiate contractual and reimbursement terms with market payers

Conduct annual reviews of provider contracts

Analysis of trend data and/or market information needed to support contract negotiations

Review and present financial data, utilization trends, and patient mix needed to negotiate and re-negotiate payer contracts

Expand and maintain knowledge of payers, products, individual markets, and industry trends

Understand and stay abreast of issues and events that may have an impact on the business and industry

Work with the team on maintaining client satisfaction through internal and external communication

Identify contracting / payer disputes that may require intervention and/or action

Monitor state and federal legislation related to payment initiatives, and policy changes that could impact contracts and relationships with health plans

Travel overnight and locally as needed up to 25%

Other duties as assigned

Qualification

Managed care contractingFinancial analysisContract negotiationsPayment methodologiesLeadershipOrganizedVerbal communicationWritten communicationDetail orientedIntegrity

Required

11+ years' experience as described to include supervisory experience, significant managed care contracting experience, and demonstrated ability in the areas of financial analysis, payment methodologies, contract language and negotiations

Bachelor's degree required

Able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner

Able to work well with others with strong verbal and written communication skills

Detail oriented and organized

High integrity, including maintenance of confidential information

Able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency

Based on business need, the ability to work a flexible schedule, including some evenings

Must pass a background check and drug screen