Job Title: Contracting and Payer Relations Executive Director
Job Summary:
We are seeking a talented and experienced Contracting and Payer Relations Executive Director to lead our organization's contracting and payer relations initiatives. The ideal candidate will be responsible for developing and maintaining relationships with payers, negotiating contracts, and ensuring compliance with payer requirements. Additionally, this role will involve collaborating with internal stakeholders to develop strategic plans that align with the organization's goals.
Responsibilities and Duties:
1. Develop and implement contracting strategies to support organizational goals.
2. Negotiate payer contracts and agreements to ensure favorable terms for the organization.
3. Maintain relationships with payers and serve as the primary point of contact for payer-related inquiries.
4. Monitor and analyze payer performance metrics to identify opportunities for improvement.
5. Collaborate with internal stakeholders, including finance and operations teams, to develop pricing and reimbursement strategies.
6. Ensure compliance with payer requirements and regulations.
7. Lead contract negotiations and manage contract renewals.
8. Provide guidance and support to staff on payer relations and contracting issues.
9. Keep abreast of industry trends and best practices in contracting and payer relations.
Qualifications and Skills:
- Bachelor's degree in healthcare administration, business, or related field (Master's degree preferred)
- At least 5 years of experience in healthcare contracting and payer relations
- Strong negotiation and communication skills
- Knowledge of healthcare reimbursement methodologies and regulations
- Ability to analyze data and make informed decisions
- Experience with contract management systems
- Strong leadership and project management skills
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