Area Vice President - Payor Contracting
$86,750–$138,800 year
On-site · Milwaukee, Wisconsin, United States
Job Summary
Senior executive responsible for developing and managing a portfolio of payer contracts to optimize enterprise revenue, margin and growth; establish positive relationships with payers; collaborate with internal stakeholders to align payer strategy and reimbursement objectives; develop and execute communication plans related to payer relationships, contract obligations, and managed care developments; collaborate with Revenue Analytics for financial analysis and contract performance projections; provide recommendations on participation with new or existing contracts; oversee budgeting and staff HR responsibilities; travel may be required to support business needs. This role requires strong negotiating, financial analysis, and cross-functional leadership to drive revenue and ensure alignment with organizational strategic objectives.
Required Qualifications
- Bachelor's Degree in Business, or Bachelor's Degree in Health Care Administration or related field
- Typically requires 15 years of experience in contractual, administrative, health insurance and operations related to managed care organizations, physician groups, hospitals and health insurance benefit plan designs
- Includes 10 years of management experience in the management of staff, budgets, and multiple managed care contracting functions
- Proven and extensive contracting technical skills; contract preparation and implementation, financial analysis and rate proposal development, and in depth knowledge of various reimbursement methodologies
- Ability to negotiate with excellent interpersonal, diplomatic, and problem solving skills
- Self motivated, with excellent written and verbal communication and presentation skills
- Proficiency in the use of Microsoft Office (Excel, Access, PowerPoint and Word) or similar products
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