Vice President Payor Contracting - Payer Managed Care

Job Summary

In this impactful role, the Vice President of Payor Contracting is responsible for planning, directing, and coordinating the policies, goals and objectives related to contract language and rate pricing, negotiation strategy, planning and execution, revenue reconciliation, and payor strategy for the system.

Gains an understanding of the current contracts and closes out open negotiations.

Plans, directs, and coordinates contract language, rate pricing, negotiations, revenue reconciliation, and payor relationship management.

Builds an infrastructure that supports a strong payor contracting department.

Provides strategic leadership, financial and administrative oversight of payor contracting and operations.

Creates a partnership culture with payors.

Builds strong relationships with key constituents throughout the organization especially with clinical leadership, senior leadership, and the Finance department.

Collaborates with system leadership to assure financial integrity is achieved and maintained for provider contracts.

Develops a Contracting Model and a payor strategy for the Health System.

Develops materials for meetings with payors.

Builds corporate knowledge of all financial aspects of government program reimbursement methodologies and prevalent reimbursement methodologies.

Determines reporting and benchmarking reports and audiences.

Leads the movement towards risk-based contracting.

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Qualifications

Experience

Relevant experience managing payor relationships and leading negotiations

Expertise in payors and managed care to inform decision making and operational improvements

Proven strength in building and maintaining strong relationships internally and externally with key constituents

Education Requirements

Bachelor's Degree

Completes and maintains all competencies and trainings as required for role.

Required Skills

Excellent Communication, Interpersonal, and Listening Skills

Financial and Business Acumen

Strategic Thinking

Negotiation Skills

Analytical Skills

Leadership Skills

Collaborative Skills

Strong Team Player

Delegation Skills

Detail Oriented

Computer skills including Microsoft Office applications

Organizational Skills

Presentation Skills

Service Orientation

Accountable for maintaining workplace safety

Tower Health is a regional integrated healthcare system that offers leading-edge, compassionate healthcare and wellness services to communities in Berks, Chester, Montgomery, and Philadelphia Counties. With 1,200 beds across the system, Tower Health consists of Reading Hospital in West Reading; Phoenixville Hospital in Phoenixville; Pottstown Hospital in Pottstown; and St. Christopher's Hospital for Children, a partnership of Tower Health and Drexel University in Philadelphia. For more information, please visit https://towerhealth.org.

Overview

Discover why our hospital is a great place to work—take a virtual tour of Reading Hospital here: https://youtu.be/hH6ItnuIIsc

This position was posted by Tower Health (TRHMC, PA). Apply through the official website using the link on this page.