AMSURG is hiring a Director, Contracting (HPR Relations) to lead our efforts in securing and maintaining optimal reimbursement rates with health plan partners. You will ensure the needs of our facilities, health plans, and the company are met by achieving annual goals and building strong business relationships.
What You'll Do
- Negotiate initial or renewal contractual terms and reimbursement with designated market payers.
- Manage multiple concurrent negotiation activities using strong project management skills.
- Create and maintain relationships between AMSURG providers and payers.
- Facilitate updating and maintenance of the consolidated contract management system.
- Establish regular communication and strong inter-company relationships, monitoring payer issues with the Revenue Cycle team.
- Assist in developing departmental goals and executing projects to achieve them.
- Onboard acquisitions and new entities or locations to payer contracts.
- Develop reports and presentations by collecting, analyzing, and summarizing information and trends.
- Analyze contract performance data and conduct onsite visits with payers and centers.
- Facilitate internal training or educational tools related to health plan contracting.
- Travel overnight up to 25% of the time.
What We're Looking For
- Bachelor’s degree with an emphasis in finance, accounting, or healthcare administration.
- Six to ten years of relevant experience in healthcare, including managed care contracting, payment methodologies, and financial analysis.
- Strong negotiating skills with national or regional payors.
- Solid understanding of payer contract language and multiple payment methodologies.
- Ability to build relationships with providers, external vendors/payers, and employees at all levels.
- Demonstrated proficiency with financial reports, utilization trends, and patient mix analysis.
- Experience working in a matrix environment with multiple competing demands.
- Self-directed with a strong bias for action, urgency, and the ability to work independently.
- Must be fluent in Microsoft Office applications.
- Strong organizational, verbal, and written communication skills.
- Ability to handle multiple tasks effectively, maintain confidentiality, exercise good judgment, and work a flexible schedule including some evenings and weekends.
Nice to Have
- Project management experience.
- Medical group operations or health plan operations background.
- Financial reporting and value-based contracting experience.
Technical Stack
- Microsoft Office
Team & Environment
You will work in a matrix environment, collaborating closely with the Vice President and the Revenue Cycle team. This position reports to the Vice President.
Benefits & Compensation
- Paid Time Off (minimum of 20 days up to 25 days per calendar year).
- 9 observed holidays.
- Paid family leave.
- Medical, Dental, Vision, Life, and Disability insurance.
- Healthcare FSA, Dependent Care FSA, and Limited Healthcare FSA.
- FSAs for Transportation and Parking & HSAs.
- Matching 401(K) Plan.
Work Mode
This is a remote position. Candidates must be based in the California area of the United States.
AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information, or any other status protected by law.
