Talent.com
DIR HPR NEGOTIATIONS
DIR HPR NEGOTIATIONSAmsurg Corp • Boise, ID, US
DIR HPR NEGOTIATIONS

DIR HPR NEGOTIATIONS

Amsurg Corp • Boise, ID, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Director, HPR Negotiations

Remote

Company Overview : AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com.

Position Summary : The Director, HPR Negotiations is responsible for securing and maintaining optimal reimbursement rates with health plan partners. Responsibilities include ensuring that the needs of facilities / entities, health plans and AmSurg are met by achieving annual assigned pipeline goals while establishing and maintaining positive business relationships.

Work Schedule : Remote

Essential Responsibilities :

  • Negotiate initial or renewal contractual terms and reimbursement with designated market payers
  • Manage multiple concurrent negotiation activities while leveraging strong project management skills to drive progress on specific market strategies to optimize reimbursement
  • Create and maintain relationships between AmSurg providers and payers related to contracting
  • Facilitate updating and maintenance of consolidated contract management system for accurate tracking of reimbursement terms and conditions.
  • Establish regular communication and strong inter-Company relationships, while monitoring payer issues as they relate to provider participation, contract loading, payment issues in conjunction with Revenue Cycle team
  • Assist in the development of departmental goals, executing projects to achieve these goals, and working closely with others within the HPR Department to continuously monitor Department performance
  • Onboard acquisitions and new entities / locations to payer contracts as requested.
  • Develop reports and presentations by collecting, analyzing and summarizing information and trends
  • In collaboration with Vice President, analyze contract performance data, conduct onsite visits with payers, clients and centers that require market specific strategies.
  • Ability to work in a matrix environment where multiple and competing customer demands are likely.
  • Facilitate internal training or educational tools as they related to health plan contracting
  • Position requires overnight travel up to 25% of the time
  • Other Duties as assigned

Qualifications :

  • Strong negotiating skills with national / regional payors
  • Solid understanding of payer contract language and multiple payment methodologies
  • Ability to build relationships with providers, external vendors / payers and employees at all levels in the organization
  • Strong organizational and written / verbal communication skills
  • Excellent ability to manage to deadlines
  • Demonstrated proficiency with financial reports, utilization trends, and patient mix based upon analysis of the data being tracked
  • Experience working in a matrix environment where multiple and competing customer demands are likely
  • Ability to work independently and with little supervision
  • Ability to positively handle conflict
  • Self-directed with a strong bias for action and urgency
  • Experience working with health plans
  • Must be fluent in Microsoft Office applications
  • Education / Experience :

  • Bachelor's degree with an emphasis in finance, accounting, or healthcare administration
  • Six to ten years relevant experience in health care including managed care contracting, payment methodologies, contract language, contract negotiations and financial analysis
  • Preferred experience : Project management, medical group operations, health plan operations, financial reporting and value-based contracting
  • Other Qualifications :

    Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner. Must be able to work well with others. Strong verbal and written communication skills required. Must be detail oriented and organized. High integrity, including maintenance of confidential information. Must be 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 and weekends as approved in advance to meet contract renewal or expiration dates.

    Employment at AMSURG : Living Our Values Every Day At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care. These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.

  • Care Deeply for those around us.
  • Cultivate Integrity to build trust.
  • Champion Excellence for continuous improvement
  • Celebrate Teamwork every step to the way.
  • Benefits : To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to : Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.

    Paid Time Off : AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

    EOE Statement : AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at : careers@amsurg.com. Please include your full name, the role you're applying for and the accommodation necessary to assist you with the recruiting process.

    [job_alerts.create_a_job]

    Dir • Boise, ID, US

    [internal_linking.similar_jobs]
    Business Relationship Manager Senior Acquisition-Vice President

    Business Relationship Manager Senior Acquisition-Vice President

    JPMorganChase • Boise, Idaho, USA
    [job_card.full_time]
    If you are customer focused enjoy building relationships and providing financial advice to your clients then a role as a Business Relationship Manager is for you. As a Business Relationship Manager ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Pharmacy Director Career Opportunity

    Pharmacy Director Career Opportunity

    Saint Alphonsus Regional Rehabilitation Hospital, an affiliate of Encompass Health • Meridian, ID, United States
    [job_card.full_time] +1
    Pharmacy Director Career Opportunity- $15,000 Sign on bonus available.Acknowledge and Appreciate for Your Expertise as Pharmacy Director. Are you a passionate Pharmacy Director eager to excel in a f...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Licensed Marriage and Family Therapist

    Licensed Marriage and Family Therapist

    Headway • Boise, ID, US
    [job_card.full_time]
    Licensed Marriage and Family Therapist (LMFT).Wage : Between $90-$127 an hour.Licensed Marriage and Family Therapist — Are you ready to launch or expand your private practice? .Headway is...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Business Development Representative, DistributorSupplier

    Business Development Representative, DistributorSupplier

    Meal Ticket • Boise, Idaho, USA
    [job_card.full_time]
    We are hiring a high-velocity BDR to execute both mainly outbound pipeline generation (and inbound qualification).This role is responsible for creating Sales Accepted Opportunities (SAOs) through f...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Highways & Roads Market Sector Director

    Highways & Roads Market Sector Director

    HDR • Boise, ID, United States
    [job_card.full_time]
    Highways & Roads Market Sector Director.Be among the first 25 applicants.Transportation Strategic Talent Acquisition Lead at HDR. At HDR, our employee-owners are fully engaged in creating a welcomin...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Denials Director

    Denials Director

    Idaho Staffing • Boise, ID, US
    [job_card.full_time]
    R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Internal Account Director (Recruitment & Retention)

    Internal Account Director (Recruitment & Retention)

    Syneos Health / inVentiv Health Commercial LLC • Boise, ID, United States
    [job_card.full_time]
    Internal Account Director (Recruitment & Retention).Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success.We translate unique cli...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Director Client Services

    Director Client Services

    Advantage Solutions • Boise, ID, United States
    [job_card.full_time]
    Primary Posting Location : City.Primary Posting Location : State / Province.Primary Posting Location : Postal Code.Primary Posting Location : Country. Client Services / Account Management.At our Company...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director of Strategic Prioritization (80 / 20)

    Director of Strategic Prioritization (80 / 20)

    Idaho Staffing • Boise, ID, US
    [job_card.full_time]
    Vontier is seeking highly qualified candidates to serve as the Director of FPP (80 / 20).This role is responsible for facilitating the end-to-end deployment of our 80 / 20 process (the "Focus & Priorit...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Head of PPC (Nigeria)

    Head of PPC (Nigeria)

    24 Hours Group • Boise, ID, US
    [job_card.full_time]
    As the Head of PPC, you will be responsible for leading our PPC team, managing Google AdWords accounts, and developing strategies to maximize ROI. You will work closely with other PPC specialists, e...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Specialist, Appeals & Grievances

    Specialist, Appeals & Grievances

    Idaho Staffing • Meridian, ID, US
    [job_card.full_time]
    Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Large Format / Signage Install Director

    Large Format / Signage Install Director

    Gpac • Boise, Idaho, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Large Format / Signage Install Director - Arizona - On-Site - Relocation Assistance .Seeking a knowledgeable, hands-on.Large Format / Signage Install Director. This role is responsible for building...[show_more]
    [last_updated.last_updated_variable_days]
    Distributor Business Mgr

    Distributor Business Mgr

    Acxion • Meridian, ID, US
    [job_card.full_time]
    Manage and grow assigned territory by directing their team to maximize client’s sales goals, maintaining a positive business relationship with distributors and customers, and striving for add...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Direct Sales Representative

    Direct Sales Representative

    True North Group LLC. • Boise, ID, US
    [job_card.full_time]
    Join Our Team at True North Group!.Position : Direct Sales Representative.Number of Openings : 1 Territory Sales Position Available. About Us : At True North Group, we’re more than just an insura...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Director, Customer Partner

    Director, Customer Partner

    Idaho Staffing • Boise, ID, US
    [job_card.full_time] +1
    At Kyndryl, we design, build, manage and modernize the mission-critical technology systems that the world depends on every day. We are always moving forward always pushing ourselves to go further i...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Director - Mid-Market HCM

    Director - Mid-Market HCM

    Paychex • Boise, ID, United States
    [job_card.full_time]
    Imagine Your Future with Us! Since 1971, Paychex has been at the forefront of simplifying HR, payroll, and benefits for American businesses. Our digital HR technology and advisory solutions cater to...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Recruiting Partner

    Recruiting Partner

    Gpac • Boise, Idaho, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Recruiting Partner – Transform Careers and Lives with gpac!.Overview : Gpac has grown from a small, family-owned company into a top recruiting firm in the nation over our 30 years in business....[show_more]
    [last_updated.last_updated_variable_days]
    HR Business Partner

    HR Business Partner

    Idaho Staffing • Boise, ID, US
    [job_card.full_time]
    Ready to be pushed beyond what you think you're capable of? At Coinbase, our mission is to increase economic freedom in the world. It's a massive, ambitious opportunity that demands the best of us, ...[show_more]
    [last_updated.last_updated_30] • [promoted]