Director Of Managed Care - Arbitrations

Envision Healthcare Nashville , TN 37201

Posted 2 months ago

Overview

Director of Managed Care - Arbitrations

Envision Healthcare

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.

Responsibilities


Essential Skills, Qualifications, and associated Responsibilities:
  • 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

#CB

#LI-JL

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
National Account Director For Medical Managed Care

Stratpharma

Posted 3 weeks ago

VIEW JOBS 10/6/2021 12:00:00 AM 2022-01-04T00:00 <p>Due to our current expansion plans in the US market Stratpharma has an opportunity for a Senior Account Director who has experience of working with regional IDNs and Hospital groups, and preferably existing relationships that can be leveraged in the role to contract and promote their product portfolio. In addition, the candidate must have experience in working in the area of Market Access, Hospital Formularies, and Managed Markets. </p><p><br></p><p>Tasks</p><p><br></p><ul> <li>Develop new and existing relationships with IDNs, Hospital Groups, Health Care Systems, Medical Groups and Advocacy/Specialty Groups</li> <li>Develop relationships and leverage commercial activity for Key Accounts on a national basis.</li> <li>Explain to target groups clinical features and benefits of Stratpharma’s medical devices for wounds and supportive care.</li> <li>Successfully show related science to support features and benefits of products</li> <li>Proactively drive and expand Stratpharma’s Key Medical Account function </li> </ul><p><br></p><p><strong>Requirements</strong></p><ul> <li>PharmD qualifications advantageous</li> <li>Previous experience of working with -</li> <li>IDN’s related to primarily commercial activities and some clinical.</li> <li>Hospital Groups and the Hospital Formularies</li> <li>A solid understanding of Market Access and Managed Markets</li> <li>A solid understanding of the entire commercial process for prescription products.</li> <li>Willingness to work with a smaller rapidly expanding company, which at times can require the candidate to wear multiple “hats” to meet the company’s overall goals.</li> </ul><p><strong>Benefits</strong></p><p>Stratpharma are an ambitious company with a portfolio of ground breaking products that started a significant expansion in the US.</p> <p>It’s an exciting time to join the company and be involved in the company’s growth journey.</p> <p>The role comes with a comprehensive package including competitive salary and bonus structure.</p> Stratpharma Nashville TN

Director Of Managed Care - Arbitrations

Envision Healthcare