What are the responsibilities and job description for the Vice President Payor Strategy & Contracting position at Fundamental Administrative Services, LLC?
Position Summary
Fundamental Clinical & Operational Services is searching for a Vice President of Payor Strategy and Contracting based in our Sparks, Maryland office.
The Vice President of Payor Strategy and Contracting will oversee national and regional payor and contracting strategies with Managed Care Organizations (MCOs) including I-SNP programs. Will direct national and regional staff to build and coordinate MCO census activities to include physicians, physician groups, ACOs and appropriate external and internal case managers.
Client skilled nursing centers are located in multiple states.
Full-time benefits start on the first day of the month following your start date!
Posted Salary Range
USD $120,000.00 - USD $130,000.00 /Yr.Duties & Responsibilities
- Oversee and direct all areas of payor strategies and contracting with MCOs, I-SNPs and ACOs\
- Conduct regular program evaluations and adjust strategies as needed to meet objectives
- Participate with multiple internal stakeholders in maximizing the number of referrals from affiliated key physicians, physician organizations, hospital accounts, managed care organizations and other local market sources in order to meet census and revenue goals
- Ensure compliance with organizational policies and relevant regulations
- Prepare routine reporting and analytics to support and justify recommendations for internal and external use.
- You’ll play the lead role owning the negotiation and contracting for all health plan relationships, from the ground up.
Qualifications & Requirements
- Bachelors Degree (Arts of Science) Required - plus 5 years of managed care contracting and negotiation experience, representing a multi-site, multi-state skilled nursing health care specialty
- Deep experience in understanding healthcare field – understand parameters around how payers and providers are working, how they work together, and how analytics and aligning incentives is enabling transformation.
- Exceptional command of data and language and ability to navigate negotiations to achieve goals.
- Proven ability taking ownership over health plan relationships for the purposes of negotiations.
- Strong analytical skills, with extreme attention to detail, accuracy and accountability balanced with sound business judgment.
- Possess a strong detail orientation; seeks appropriate amount of data and information to make decisions; sorts and categorizes information quickly; prioritizes data points in decision making process.
Must live in greater Baltimore area and be willing to travel nationally - 75% travel to client facilities
Benefits
All of our employees are valued and receive a competitive wage; full time team members are also offered a comprehensive benefit package which includes:
- Medical, Dental, Vision, Life and Disability Insurance
- Flexible Spending Accounts
- Tuition Reimbursement & Loan Repayment Programs
- PerkSpot - Local Deals and Weekly Perks Program
- 401(k)
- Vacation/Holiday/Sick Pay Plan
- Pet Insurance Discount
- DailyPay option available! Get your pay, when you need it
- Purchasing Power - online purchase/payroll deduction
- Tickets at Work - entertainment ticket discounts
- Employee Assistance Plan - easy-to-use services to help with everyday challenges of life (available for all employees and their families)
- Helping Friends Foundation - our employees hardship/crisis fund
- Auto and Home Insurance - employee discount available & payroll deduction
EOE Statement
Drug Free, Smoke-Free work place. Equal Opportunity Employer, including disability/vets
Salary : $120,000 - $130,000
