Director of Managed Care - Arbitrations
Envision Healthcare is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women's and children's health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services. As one organization, we now provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia.
If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.
This Director of Managed Care position will be responsible for execution of the overall managed care payor dispute resolution strategy and processes within Envision's physician service lines. This will include support in development of both state and national strategies, analyzing market data to inform and support those strategies, and conducting negotiations in settlement and arbitration processes.
The position will report to the Senior Director of Managed Care Arbitrations and work extensively with the regional contract negotiation teams responsible for managing the geographic portfolios across all professional service lines. Additionally, the position will collaborate across a matrixed team of revenue cycle, legal, and administrative resources and possess executive level visibility.
Skilled negotiator with a proven track record and able to achieve results in challenging environments, including direct experience within contract and dispute resolution negotiations.
Possesses a strong understanding of the healthcare industry and payor-provider reimbursement methodologies as well as pricing strategies.
Develops and maintains a deep understanding of state and federal legislation related to payment initiatives and policy changes.
Experience with using, managing, and interpreting large amounts of healthcare data.
Deploys superior analytical skills in the development and use of focused market datasets to assist in dispute resolution proceedings
Attention to detail and willingness to independently and collaboratively analyze market conditions in order to execute complex and data-driven negotiations
Ability to deliver time-pressured projects on-time and with the desired results through a structured project management (time, team, work-stream management) approach.
Excellent written and oral communication skills, confident and impactful presenter.
Ability to work in a matrix environment and manage a large number of matters simultaneously
Fosters strong inter-company relationships that facilitate cross functional monitoring of payor issues
Assisting in the development of departmental goals, executing projects to achieve these goals, and working closely with others in the department to continuously monitor department performance
Willingness to assume responsibility for communication and execution of corporate initiatives
Self-directed with a strong bias for action
Excellent customer relationship / management skills
Demonstrated leadership and/or people management skills
Travel overnight and locally as needed
If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.
Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.
Envision Healthcare is an Equal Opportunity Employer