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Ascension Health Payer Relations & Contracting Director in Austin, Texas

We Are Hiring

Payer Relations & Contracting Director

Are you a proven Managed Care leader? Apply today!

This position will be located at our local ministry in Austin, TX.

What You Will Do

As a Payer Relations & Contracting Director with Ascension, you will have the opportunity to negotiate and review payer and direct employer contracts for the organization.

Responsibilities:

  • Directs analysts in financial modeling specific to contracting efforts, ensuring negotiated outcomes meet desired objectives.

  • Develops and implements strategic and operational goals and objectives.

  • Makes recommendations based on changes and trends in the area of managed care, reimbursement and applicable state and federalregulatory environment.

  • Develops and evaluates departmental and payor benchmark key performance indicators and major processes.

  • Provides reports and recommendations to Ascension's senior leadership

  • Is a key member of Ascension's national managed care team. Works in partnership with Ascension Medical Group, and Ascension hospitals to assess and develop infrastructure to support risk contracting and other forms of value based payments.

  • Leads the development and contracting for value-based population health opportunities and new reimbursement models. Contracts include fee-for-service.

  • Responsible for educating ministries on impact of changes in reimbursement methodology imposed by commercial payers and governmental agencies.

  • Serves as a liaison between payers and ministry departments, hosting routine meetings with payers to resolve outstanding issues.

  • Develops reports and reporting solutions specific to payer relations, managed care and contracting needs.

What You Will Need

Education:

  • High school diploma/GED with 2 years of experience, or Associate's degree, or Bachelor's degree required.

  • Master's degree preferred.

Work Experience:

  • 5 years of experience required.

  • 10 years of experience preferred.

  • 2 years of leadership or management experience required.

  • 5 years of leadership or management experience preferred.

Additional Preferences

Why Join Our Team

Equal Employment Opportunity Employer

Ascension is an equal opportunity employer (EEO) and affords equal opportunity to all associates and applicants without regard to race, color, religion, national origin, gender identity, sexual orientation, age, physical or mental disability, veteran status, genetic data, or other legally protected status.For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdfEEO is the Law Poster SupplementPlease note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf) Right to Work

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