Director Managed Care Contracting

Envision Healthcare

This is a remote position

Envision Healthcare is a leading national medical group focused on delivering high quality care to patients when and where they need it most. More than 30,000 clinicians and clinical support teammates call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.  

Through Envision Physician Services and AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.

Envision’s core values drive continual advancement and ingenuity across the enterprise:

• Be Curious-embrace learning, seek out diversity of thought, listen openly, ask questions, and ask for feedback
• Instill Trust-have the hard conversation, presume good intent, honor commitments, and do the right thing for patients and each other
• Pursue Extraordinary-challenge the status quo, champion change, innovate and constantly aim higher
• Care Deeply-serve patients, partners, communities, and each other with empathy, compassion, and respect
• Embrace Teamwork-work cross-functionally, break down walls, develop others, be inclusive and unite to improve patient health
• Inspire Joy-seek fulfillment and the joy of medicine, appreciate others, celebrate wins, and promote wellness and belonging

Benefits

We offer you an outstanding total compensation package, and a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits package includes: medical, dental and vision, life & disability, 401k, HSA, Flexible Spending and an Employee Assistance Program.

If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

 We currently have an exciting opportunity available for an experienced Director Managed Care Contracting!

The Director Managed Care Contracting is responsible for managing a geography and underlying payer contracts.  Develop strategies for growing the managed care portfolios associated with the geography assigned.  Provide annual plans to operations relative to volume and rate growth.  Lead negotiations of payer contracts with the goal of being a participating provider.    

• Negotiating contractual and reimbursement terms with market payers.
• Managing existing contracts so allowable rates are achieved.
• Creating and maintaining relationships between operations, clients, and payers related to contract performance.
• Creating and maintaining strong inter-company relationships that facilitate the monitoring of payer issues such as provider participation status, market rate analysis, contract loading, and payment issues.
• Maintaining client satisfaction through internal and external communication.
• Assisting in the development of departmental goals, executing projects to achieve these goals, and working closely with others within the department to continuously monitor department performance.
• Preparing reports and presentations to monitor portfolio performance, yield, payer enrollment, payer mix, etc.
• Demonstrated proficiency with financial reports and modeling.
• Preparing internal training or educational tools as they related to health plan contracting and/or payment policies.
• Conduct onsite visits with payers, clients and operators that require market specific strategies.
• Assume responsibility for communication and execution of corporate initiatives.
• Provides input to the appropriate individuals to contribute to the development of corporate initiatives.
• Excellent communication skills (written and verbal) to enable the presentation of data in a convincing fashion.
• Ability to work in a matrix environment where multiple and competing customer demands are likely.
• Support and compile regional data collection for contracting assessment and strategic development
• Self-directed with a strong bias for action.
• Excellent customer relationship / management skills.
• Demonstrated leadership and/or people management skills.
• Travel overnight and regionally, as needed.

KNOWLEDGE AND SKILLS:

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.

• Skilled negotiator with a proven track record and able to achieve results in challenging environments, including direct experience within contract negotiations
• Possess a strong understanding of the healthcare industry and payor-provider reimbursement methodologies as well as pricing strategies
• Develop and maintain a deep understanding of state and federal legislation related to payment initiatives and policy changes
• Excellent written and oral communication skills, confident and impactful presentation skills

Education/Experience:

• Bachelor’s degree required
• Five (5) years relevant experience including supervision, managed care contracting, financial analysis, payment methodologies, contract language and negotiations
• Equivalent experience considered

Mathematical Skills:

Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, decimals and percentages.

Language Skills:

Ability to understand, read, write and speak English.  Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations.  Ability to successfully write business correspondence.  Ability to effectively present information, respond to questions and professionally interact with managers, employees, clients, vendors and the general public.

Reasoning Ability:

Ability to recognize and define problems, collect data, establish facts, draw valid conclusions and correct errors.  Ability to understand and interpret basic financial data.  Ability to interpret a variety of instructions in a variety of forms and deal with abstract and concrete variables.

Other Qualifications:

Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner.  Must be able to work well with others.  Strong verbal and written communication skills required.  Must be detail oriented and organized.  High integrity, including maintenance of confidential information.  Must be able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency.  Based on business need, the ability to work a flexible schedule, including some evenings and weekends as approved in advance.

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

Envision Healthcare is an Equal Opportunity Employer.

#LI-JL1

#LI-remote