What are the responsibilities and job description for the Payer Relations & Contracting Manager position at Ascension?
- Department:Payor Contracting and Relation, Finance
- Schedule: 8-hour day shift, Monday - Friday
- Facility: Ascension Managed Care
- Location: Wichita, Kansas, Must Reside in Kansas or Okalahoma
Benefits
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
*Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: PRN, Short-Term Option, etc.). Connect with your Talent Advisor today for additional specifics.
Responsibilities
As a Payer Relations & Contracting Manager, you'll manage the negotiation and review of payer and direct employer contracts for the organization.
- Support the development and contracting for value-based population health opportunities and new reimbursement models.
- Manage financial modeling specific to contracting efforts, ensuring negotiated rates meet desired objectives.
- Develop reports and reporting solutions specific to payer relations, managed care and contracting needs.
- Monitor the financial and operational performance of payer contracts.
- Provide reports and analysis of performance, providing recommendations and feedback for contract renewals, renegotiations or termination.
- Serve as a relationship manager with payers in the market.
- Monitor all aspects of the relationship to ensure appropriate communication and contract compliance and maintaining delegated payer credentialing status.
Requirements
Education:
- High school diploma/GED with 2 years of experience, or Associate's degree, or Bachelor's degree required.
Work Experience:
- 3 years of experience required.
- 5 years of experience preferred.
- 1 year of leadership or management experience preferred.
Additional Preferences
Education and Experience:
- Master degree highly desired
- Experience negotiating contracts for either a provider organization or a managed care company
Why Join Our Team
Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.
Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
Equal Employment Opportunity Employer
Ascension is an Equal Employment Opportunity (EEO) and Affirmative Action employer. Associates and Applicants receive fair and impartial consideration without regard to race, color, religion, national origin, citizenship, gender identity, sexual orientation, age, physical or mental disability, veteran status, genetic data, or other legally protected status.
Pay Non-Discrimination Notice:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_ English_formattedESQA508c.pdf
For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:
http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf
EEO is the Law Poster Supplement
Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.
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