MGR, Contracting - Health Plan Relations (East Region)
Manager, Contracting - HPR Relations (East Region)
Remote
Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com.
POSITION SUMMARY:
The Manager, Contracting – Health Plan Relations is responsible for supporting AMSURG’s managed care contracting activities including payer negotiations and contract research.
Work Schedule: Remote
ESSENTIAL RESPONSIBILITIES:
Support contract negotiations, contract research and on-going payer relationships.
In collaboration with Directors and as directed by Vice President, Contracting, support relationships with AmSurg operations by executing on center-level contracting priorities
Contract and onboard acquisitions, de novo centers and new provider affiliations with payers as directed.
In collaboration with Directors, facilitate the monitoring of payer issues such as provider participation, contract loading and payment issues.
Focus on client satisfaction through internal and external communication.
Assist in the development of departmental goals and contracting plan, executing projects to achieve these goals, and working closely with others within the department to continuously monitor department performance.
Prepare reports / presentations to present contract rates, payer mix, etc.
Demonstrated proficiency with financial reports and modeling.
Preparing internal training or educational tools as they related to health plan contracting
Comply with departmental standard operating procedures for contract negotiations, modeling and loading.
Ability to work in a matrix environment where multiple and competing customer demands are likely.
Provides input to the appropriate individuals to contribute to the development of corporate initiatives.
Self-directed with a strong bias for action.
Excellent customer relationship / management skills.
Demonstrated leadership and/or people management skills.
Travel overnight and locally as needed.
Other duties as assigned.
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.
Required:
Strong organizational and written/oral communication skills
Ability to work independently and with little supervision
Excellent ability to manage to deadlines
Ability to positively handle conflict
Must be fluent in Microsoft Office applications
Position requires overnight travel up to 25% of the time
Education/Experience:
5 - 8 years relevant experience including managed care contracting, financial analysis, payment methodologies, contract language and negotiations
Equivalent experience considered
Bachelor’s degree required
Employment at AMSURG: Living Our Values Every Day
At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care.
These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.
Care Deeply for those around us.
Cultivate Integrity to build trust.
Champion Excellence for continuous improvement
Celebrate Teamwork every step to the way.
Benefits:
To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.
Paid Time Off:
AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.
EOE Statement:
AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment 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 under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: [email protected]. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process.
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Remote
Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com.
POSITION SUMMARY:
The Manager, Contracting – Health Plan Relations is responsible for supporting AMSURG’s managed care contracting activities including payer negotiations and contract research.
Work Schedule: Remote
ESSENTIAL RESPONSIBILITIES:
Support contract negotiations, contract research and on-going payer relationships.
In collaboration with Directors and as directed by Vice President, Contracting, support relationships with AmSurg operations by executing on center-level contracting priorities
Contract and onboard acquisitions, de novo centers and new provider affiliations with payers as directed.
In collaboration with Directors, facilitate the monitoring of payer issues such as provider participation, contract loading and payment issues.
Focus on client satisfaction through internal and external communication.
Assist in the development of departmental goals and contracting plan, executing projects to achieve these goals, and working closely with others within the department to continuously monitor department performance.
Prepare reports / presentations to present contract rates, payer mix, etc.
Demonstrated proficiency with financial reports and modeling.
Preparing internal training or educational tools as they related to health plan contracting
Comply with departmental standard operating procedures for contract negotiations, modeling and loading.
Ability to work in a matrix environment where multiple and competing customer demands are likely.
Provides input to the appropriate individuals to contribute to the development of corporate initiatives.
Self-directed with a strong bias for action.
Excellent customer relationship / management skills.
Demonstrated leadership and/or people management skills.
Travel overnight and locally as needed.
Other duties as assigned.
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.
Required:
Strong organizational and written/oral communication skills
Ability to work independently and with little supervision
Excellent ability to manage to deadlines
Ability to positively handle conflict
Must be fluent in Microsoft Office applications
Position requires overnight travel up to 25% of the time
Education/Experience:
5 - 8 years relevant experience including managed care contracting, financial analysis, payment methodologies, contract language and negotiations
Equivalent experience considered
Bachelor’s degree required
Employment at AMSURG: Living Our Values Every Day
At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care.
These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.
Care Deeply for those around us.
Cultivate Integrity to build trust.
Champion Excellence for continuous improvement
Celebrate Teamwork every step to the way.
Benefits:
To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.
Paid Time Off:
AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.
EOE Statement:
AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment 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 under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: [email protected]. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process.
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