Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.
Provide compensation support and analysis for BMG Leadership, Physician Compensation Committee, Provider Recruitment, and other leaders as needed. Take leadership role in the enhancement, development, documentation, and communication of identified variances by managing comprehensive analysis of data. Understand the causes of financial & clinical trends and anomalies. Articulate opportunities to internal and external audiences, including senior executives. Implement solutions and track and monitor progress.
This role is key in supporting BMG leadership and partnering with multidisciplinary teams.
Compensation & Contracting
Assists in maintaining market competitive compensation programs and pay practices by gathering information regarding current compensation practices, such as base salary rates, production rates, administrative rates, and other pay programs. Analyzes the information by comparing market and/or internal equity.
Assists in determining the financial impact on Beebe Medical Group. Delivers recommendations to the Physician Compensation Committee. Advises Leaders and Providers on compensation philosophy and practices.
Provide analysis and guidance for pay decisions and policy interpretation.
Reviews Physician contracts to ensure compensation is processed correctly and that all pay increases are accurately applied in the HRIS system and production calculations.
Participates in annual salary surveys from a wide variety of outside consulting groups and reports data findings and makes recommendations for change.
Participates in HR and information systems management and serves as a liaison, super user, and resource for designated HR responsibilities.
Helps develop Compensation guidelines and performs structure maintenance to ensure compliance with contracts and rates. Maintains compensation dictionaries regarding base salary pay, production pay, administrative pay, call pay, etc.
Provides support to payroll team and acts a resource for physician and APP compensation.
Reviews calculations and spreadsheets for accuracy and completeness.
Identifies and prioritizes information needs, research and consults compensation and leadership team for best practice solutions, compiles and organizes information, performs data analysis and visualizations, and presentations with BMG Leadership.
Creates a variety of reports for internal and external customers. Compiles and analyzes data to prepare information for studies/surveys, regulatory compliance reports, auditors, accreditation surveys and other special requests. Assists in the creation of monthly reports and financials for month-end reporting and financial accruals.
Has basic and developing knowledge of federal, state, and local compensation laws and regulations to ensure compliance. Supports the annual Fair Market Value analysis of physician compensation and understands and helps ensure compliance to federal Start, Anti-Kickback, and other laws and regulations that deal with physician compensation.
Builds awareness and knowledge base of current trends in compensation technology trends, compensation legislative activity and health care/industry trends which may impact strategic objectives.
Collaborates with Provider Recruitment and Legal to finalize contracts and serve them up to BMG Leadership to share with candidates.
FP&A
Partner with BMG Leadership and Directors to support development of short and long-term financial objectives utilizing analytics and other resources
Collaborate with Decision Support and Finance to leverage analytics as Subject Matter Expert for recommending contractual improvements to achieve bottom line targets
Assist with developing and refining BMG financial metrics and data validation
Support financial reporting and monitoring of revenues, expenses, and cost-saving initiatives, communicating impact and trends to BMG Leadership
Partner with financial stakeholders to support BMG Leadership's oversight and understanding of internal and external financial trends that impact operations
Investigate variances and derive solutions to cost increases and quality issues
Perform cost/benefit analysis
Perform statistical analyses and explain analyses to non-technical audiences
Identify trends in expenses, utilization, medical quality, and other areas
Leverage knowledge of financial, clinical and other information generated by numerous sources to identify opportunities to improve clinical and financial performance
Meet deadlines and turnaround times (these deadlines and turnaround times may require the employee to work until the project is completed)
Ad Hoc Responsibilities:
Performs related duties as required
Essential:Clear Communication Skills Both Written And VerbalKnowledge Of Basic Computer Programs Able To Keep Confidential Information Regarding Patients, Team MembersAble To Withstand Crisis SituationsHas Skills To Provides Customer Service To Patients, Team Members And VisitorsExperience With Excel, Power Point, Word, Visio, Etc.
Essential:Bachelor's Degree in related field
Required
Bachelor's degree in healthcare-related field (Ex: healthcare or business management, accounting, finance, economics, or related field)
2-5 years of relevant experience
Ability to manage multiple tasks and projects, pay attention to detail
Excellent planning, communication, organizational, analytical, and mathematical abilities
Ability to interpret and summarize results from analyses in a timely and meaningful way
Ability to effectively approach problem solving
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0 Provider Contracting Director jobs found in Atlantic City, NJ area