Job Description
About Our Company We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. Job Description Reporting to the Vice President of Payor Contracting, the Director of Payor Contracting is responsible for implementing the Organization’s contracting strategy in multiple markets. The Director of Payor Contracting will utilize knowledge of fee-for-service contracting and reimbursement methods to assist the organization in achieving its strategic goals. Essential Job functions: Lead contract negotiations for Physician, ASC, and Ancillary contracts Work with key leaders (VP, SVP, CFO, etc.) to help develop the organization’s overall contracting strategy. Support Business Development projects as they relate to the Payor relationships Create a strategic framework for evaluating new Payer agreements Develop, and maintain payor relationships in new markets Work with internal teams (i.e., Clinical Operations, Risk Analytics, Business Development, etc.) to build consensus on key contracting decisions that impact workflows, and strategic goals in those areas. Serve as the primary point of contact with Payors on proposed agreements. General Job functions: Strong relationship management skills, with both internal and external parties Strong communication skills (verbal, written, presentation) Ability to manage multiple priorities and short deadlines Key Competencies: Detailed knowledge and understanding of contract language Familiarity with Value-Based Care concepts Experience working across key internal stakeholders: Clinical Operations, Legal, Finance, Risk Analytics, etc Ability to succinctly summarize complex agreements into key decision points and impacts Experience building consensus at the Executive level Working knowledge of Medicare, Medicaid, and Workman’s Compensation Education, Certification, Computer and Training Requirements: Bachelor’s degree from an accredited college A minimum of 5-10 years of professional experience in the healthcare industry A minimum of 3-5 years of professional experience in payor contract negotiations Experience working with value-based contracts is strongly preferred Experience working within an integrated healthcare system or a health insurance provider is strongly preferred #J-18808-Ljbffr