Director Payor Strategy & Contracting

General information

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Job Title Director Payor Strategy & Contracting Functional Area Teammate - Revenue Cycle City Remote Work Location Type Remote State Remote Employment Type Full-time (30+ hrs/week)/FULLTIME

Description & Requirements

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Position Description & Requirements PRACTICE OVERVIEWRadiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Radiology is a team sport, and Radiology Partners is building a community of physicians and support teammates who embody our practice values and believe in our bold mission to transform radiology. Our support team is a vital force within the practice, using their gifts and talents to improve the overall healthcare experience. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
POSITION SUMMARYThe Director of Payor Strategy and Contracting will work closely with the VP of Payor Strategy and Contracting and the Chief Revenue Officer to develop and execute on managed care contracting strategies and negotiations.  In this role you will be responsible for directly contributing to the P&L success of the practice through identifying and evaluating opportunities, negotiating optimal reimbursement rates, and helping manage the payor contracting team.  You will also work closely with the finance and operations teams to assist with evaluation and integration of new partnerships.  Given Radiology Partners’ rapid ongoing growth, there will be significant opportunity and expectation to grow with the practice and contribute to building a first-rate team.  
POSITION DUTIES AND RESPONSIBILITIES

• Formulate and implement strategies and initiatives for payor contracting, including short and long-term strategies that support maximizing fee-for-service revenue, while transitioning to value-based care
• Develop and foster strong working relationships with hospital clients and payors
• Help manage and grow the overall payor contracting team
• Identify or create tools, financial modeling systems or other resources to assist with payor contract evaluations 
• Work with finance and operations teams in the due diligence and integration of new practice partnerships
• Help identify and lead process improvements and development as Radiology Partners continues to scale
• Support national revenue cycle in improving managed care net revenue yield through reductions in administrative and clinical denials
• Work with the revenue cycle team in the development and implementation of a system-wide contract management and analytics system 

DESIRED PROFESSIONAL SKILLS AND EXPERIENCE

• MBA or other advanced degree in Business/Healthcare preferred
• Finance, consulting or relevant healthcare experience (required)
• Prior management experience (preferred)
• Strong analytical, leadership, team building, communication, and interpersonal skills
• Strong independent judgment and creativity 
• Advanced knowledge of Microsoft Office products (Excel, Word, PowerPoint)

Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
The salary range for this position is $155,000.00 - $165,000.00. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).
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