Director of Payer Contracts & Credentialing

Nicklaus Children's Health System; Miami (FL); Vor Ort; USD 120.000 - 170.000; Vollzeit

Zusammenfassung

Nicklaus Children's Health System is seeking a leader to manage technical and professional payer contracting and credentialing across the Health System. You will guide Senior Leadership on contracting, pricing, and delegated credentialing, and ensure adaptability to the ever-changing payer landscape.

You will lead a team, develop staff, and oversee all in-network and out-of-network contracting for hospital and employed physicians, while collaborating across departments and with payers.

Qualifikationen

• Bachelor's degree required in business/health administration or related field.
• 7–10 years of management experience in finance/analytics/accounting, healthcare-related.
• 7–10 years of hospital or payer contracting and negotiations experience.

Aufgaben

• Oversee payer contracting and credentialing for the Health System.
• Guide Senior Leadership on contracting, pricing, and delegated credentialing.
• Lead and develop a strong team of professionals; manage subordinates.

Kenntnisse

Leadership

Negotiation

Communication

Data analysis

Time management

Problem solving

Strategic thinking

Mentoring

Ausbildung

Bachelor's Degree in Business Administration or Health Management

MBA / MHA / JD preferred

Jobbeschreibung

Nicklaus Children's Health System is seeking a leader to manage technical and professional payer contracting and credentialing across the Health System. You will guide Senior Leadership on contracting, pricing, and delegated credentialing, and ensure adaptability to the ever-changing payer landscape.

You will lead a team, develop staff, and oversee all in-network and out-of-network contracting for hospital and employed physicians, while collaborating across departments and with payers.