3 Reimbursement Manager Jobs in Southfield, MI
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MyCareer+ is Hiring a Reimbursement Manager Near Southfield, MI
The Value-Based Reimbursement/Payer Relations/ACO Manager is responsible for managing and optimizing value-based reimbursement strategies, fostering payer relations, negotiating payer contracts, and overseeing Accountable Care Organization (ACO) initiatives. This role involves collaborating with internal and external stakeholders within a matrix organization to ensure compliance with healthcare regulations, enhance financial performance, and improve patient outcomes.
Key ResponsibilitiesValue-Based Reimbursement
Key ResponsibilitiesValue-Based Reimbursement
- Develop and implement strategies to maximize value-based reimbursement opportunities.
- Analyze financial and operational data to identify trends and opportunities for improvement.
- Collaborate with clinical and financial teams to ensure alignment with value-based care objectives.
- Establish and maintain strong relationships with insurance payers and other healthcare partners.
- Negotiate contracts and agreements with payers to ensure favorable terms and compliance with regulatory requirements.
- Serve as the primary point of contact for payer-related issues and resolution.
- Strategize and execute payer contract negotiations to optimize financial performance and reimbursement.
- Oversee ACO initiatives, including performance monitoring, reporting, and compliance.
- Develop and implement strategies to improve quality of care, patient satisfaction, and financial performance within the ACO.
- Coordinate with clinical and administrative staff to ensure effective implementation of ACO programs and initiatives.
- Ensure compliance with all federal, state, and local regulations related to value-based reimbursement and ACO operations.
- Stay current with changes in healthcare regulations and payer requirements.
- Develop and implement policies and procedures to maintain regulatory compliance.
- Conduct detailed analyses of reimbursement trends and financial performance.
- Prepare and present reports to senior management, highlighting key insights and recommendations.
- Utilize data to drive decision-making and strategic planning.
- Bachelors degree in healthcare administration, business administration, finance, health law, contract law, or a related field. Masters degree preferred.
- Minimum of 5 years of experience in healthcare administration, payer relations, value-based reimbursement, or ACO management.
- Proven track record of successful negotiation and relationship management with insurance payers.
- Experience with data analysis and financial reporting in a healthcare setting.
- Experience working within a matrix organization, effectively collaborating across multiple departments and teams.
- Strong understanding of value-based reimbursement models and ACO operations.
- Excellent negotiation and communication skills.
- Proficiency in data analysis and financial modeling.
- Ability to manage multiple projects and priorities in a fast-paced environment.
- Strong problem-solving and critical-thinking abilities.
- Knowledge of healthcare regulations and compliance requirements.
Job Summary
JOB TYPE
Full Time
SALARY
$99k-134k (estimate)
POST DATE
06/17/2024
EXPIRATION DATE
07/18/2024
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The job skills required for Reimbursement Manager include Regulatory Compliance, Initiative, Problem Solving, Alignment, etc. Having related job skills and expertise will give you an advantage when applying to be a Reimbursement Manager. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Reimbursement Manager. Select any job title you are interested in and start to search job requirements.
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