Senior Director-Payor Contracting

Participates in third party payor contract negotiations and manages contract performance compliance for the System to ensure fair and adequate payment rates, operational terms that are acceptable and manageable, and payor compliance with contract financial and operational terms.

Requirements

• Manages all new as well as timely renewals of System contracts
• Collaborates with contracting leadership to identify and understand challenging operational issues with payor contract compliance
• Develops and maintains system payor contract summary with key details
• Develops processes to collect and maintain available market information regarding market payment rates and methods for various types of managed care payors
• Maintains a strong knowledge of all pertinent governmental regulations that pertain to both payor contracts and hospital operations
• Assists the VP of Payor Contracting and Population Health in projects, presentations, and negotiation updates
• Responsible for the direct leadership and mentorship of Payor Contracting Negotiators