Remote Health Plan Contracting Manager - East Region
AmSurg
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 Position Summary Remote. The Manager, Contracting – Health Plan Relations is responsible for supporting AMSURG’s managed care contracting activities including payer negotiations and contract research. 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. Facilitate the monitoring of payer issues such as provider participation, contract loading and payment issues in collaboration with Directors. 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 and presentations to present contract rates, payer mix, etc. Demonstrate proficiency with financial reports and modeling. Prepare internal training or educational tools as related to health plan contracting. Comply with departmental standard operating procedures for contract negotiations, modeling and loading. Work in a matrix environment where multiple and competing customer demands are likely. Provide input to appropriate individuals to contribute to the development of corporate initiatives. Be self-directed with a strong bias for action. Exhibit excellent customer relationship and management skills. Demonstrate 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. 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 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 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: View email address on click.appcast.io. Please include your full name, the role you’re applying for, and the accommodation necessary to assist you with the recruiting process. #J-18808-Ljbffr
$73.1k - $171.06k
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