Aspen Dental ยท 3 hours ago
Senior Manager, Payor Strategy
Chicago, IL
Full-time
Remote
Senior Level
$115K/yr - $130K/yr
6+ years exp
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Hiring Manager
Kelly (Dillon) Campagna
Insider Connection @Aspen Dental
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Responsibilities
Responsible for working with Vice President + Senior Vice President of Payor Strategy on managing the contract portfolio for Aspen Dental.
This includes pursuing and preparing for renewals, assisting in the implementation and execution of new contracts, as well as all necessary contractual amendments, changes, and renewals.
Assists in managing the relationship with plans and finding solutions for operational challenges they face.
Develops and maintains effective working relationships with insurance company and managed care company personnel responsible for contracting with healthcare providers.
Manage the implementation, execution, and communication of contracts throughout organization.
Act as an expert resource on escalated contractual issues in addition to resolution of high-level compliance and customer-related concerns.
Responsible for managing payor contract portfolios on a regular basis including monitoring, tracking, and touchpoints.
Support ongoing payor negotiations including language, rates, amendments, etc. as needed with leadership.
Monitor contract performance and other provisions to assure compliance, identify problem areas, and resolve disputes.
This position is responsible for managing and completing major departmental projects including recommending project plans and recommending resource allocations.
Resolve escalated contract issues generated by operational department heads.
Draft and communicate customer announcements for newly executed, terminated, or revised/updated contracts and payor industry news.
Work collaboratively with payors and Aspen Department Leadership (i.e Legal/Compliance, Finance, Centralized Billing, and IT) on strategic business development efforts to ensure geographic maximization, plan and service types, and optimal reimbursement rates.
Other duties as assigned.
Qualification
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Required
Bachelor's degree
6-8 years of progressively responsible management or supervisory level managed care contracting experience in a payor or health care setting with at least five (5) of these years' experience in a medium to large health system.
Broad knowledge of healthcare insurance, physician billing and reimbursement, administration, systems, practices and principles, (i.e. Medicaid, Medicare, Medicare Advantage, and Commercial.)
Knowledge and ability to effectively utilize negotiation techniques and practices to effectively advocate for providers.
Excellent verbal & written communications
Excellent time management, prioritization, and organizational skills a must.
Detail oriented with a strong level of analytical, and problem-solving skills
Proficient use of Microsoft Office Suite.
Company
Aspen Dental
Aspen Dental is a provider of general dentistry services.
5,001-10,000 employees
H1B Sponsorship
Aspen Dental has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (14)
2022 (14)
2021 (18)
2020 (10)
Funding
Current Stage
Late StageLeadership Team
Payam C. Ataii
Senior Vice President Orthodontic Support
Kimberly Cameron Jones
Vice President of Hygiene Operations
Recent News
2024-03-05
2024-02-09
Company data provided by crunchbase
