200+ applicants

Company

SCA Health · 3 days ago

Payer Engagement Director

United States

Full-time

Remote

Director/Executive

$122K/yr - $160K/yr

7+ years exp

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Responsibilities

Perform required work in a self-directed manner, meeting all timelines and due dates

Complete payer managed care contract reviews and risk assessments

Establish payer value proposition and align deal model expectations with payer strategy execution

Develop and recommend strategic contract initiatives, desirable reimbursement methodologies, and preferable managed care contract language that drive revenue growth in fee for service or value-based models with payers across numerous acquisition opportunities.

Partner with Payer Analytics to perform and review analytics to evaluate opportunities that will drive or detract from post-acquisition payer strategy and escalate anomalies to leaders and support services as appropriate.

Possess ability to multi-task more than one complex project at once, ensuring accountability to establish deadlines, timelines, and tasks.

Proactively problem solve by identifying project variances, barriers, or gaps in the diligence process and work with support service teammates to resolve in a manner that keeps transaction moving forward

Work cross-functionally to align payer strategy and expectations across numerous stakeholders, including teammates who will be responsible for executing on the payer strategy commitments

Drive Process Improvement: In the spirit of continuous improvement, partner with diligence and non-diligence stakeholder to understand and improve existing processes and tools, including project plans dashboards and the scope and detail of diligence review for all types of provider acquisitions.

Partner with counsel and other support services lanes on non-standard transactions to ensure appropriate risk assessment is completed

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Payer Landscape KnowledgeReimbursement MethodologiesProject ManagementPayer Contractual LanguageMicrosoft ProductsBusiness AcumenRelationship Management

Required

Bachelor’s degree required

7+ years relevant work experience: Diligence, health plan contracting/healthcare operational/consulting experience, project management

Strong analytical skills, along with expert in Microsoft products required

Excellent communication skills, verbal and written

Advanced knowledge of managed care related activities including: negotiations, legal, regulatory, operational, finance, and relationship management.

Demonstrated success in supporting competing, complex projects and interfacing with matrixed teams

Good general business acumen; capable to analyze complex business problems and provide solutions

Excellent interpersonal skills including a proven ability to successfully interact and foster open dialogue with senior executives, Corporate Development, Operations and Payer Team.

Exceptional analytical, organizational, and problem-solving skills with demonstrated ability to achieve results in a fast-paced, dynamic, ever-changing environment.

Ability to role model SCA Health’s Mission, Vision and Values.

Possess high integrity, professionalism, optimism, and energy

Ability to quickly establish credibility and organizational relationships while building consensus.

Detailed understanding of payer landscape, reimbursement methodologies, and payer contractual language terms

Creative, accountable, and solution-oriented to identify go forward strategies in the support of organizational growth strategies.

Travel required - 5-10%