Director of Payor Relations & Analytics

St. Tammany Parish Hospital; Madisonville (LA); Sur place; USD 140 000 - 200 000; Plein temps

Résumé du poste

St. Tammany Health System in Covington, LA is seeking a Director of Payer Contracting & Analytics who will shape and execute the hospital's managed care strategy, blending contract negotiation with financial analytics to optimize reimbursement.

The role requires a Bachelor's in a relevant field and at least 5 years in managed care contracting, with preferred MBA or MHA. You will lead cross-functional teams and report to hospital leadership.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance or Accounting, Economics, or Public Health.
• Minimum 5 years of managed care contracting and reimbursement experience.
• Experience in healthcare finance and/or revenue cycle operations.
• Proficiency in data analytics and financial modeling.

Responsabilités

• Lead negotiation and analytics to optimize reimbursement and payer contracts.
• Develop and execute the hospital's managed care strategy.
• Collaborate with cross-functional teams to align contracts with organizational goals.
• Provide leadership and guidance to analytics and contracting teams.

Connaissances

Managed care contracting

Financial modeling

Data analytics

Cross-functional leadership

Reimbursement experience

Formation

Healthcare Administration

Business Administration

Finance or Accounting

Economics

Public Health

MBA or MHA (preferred)

Description du poste

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system.

We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.

JOB DESCRIPTION AND POSITION REQUIREMENTS

Scheduled Weekly Hours: 40

Summary of the Job

The Director of Payer Contracting & Analytics is a leader responsible for shaping and executing the hospital’s managed care strategy. This role blends contract negotiation, financial analytics, and cross-functional leadership to optimize reimbursement, strengthen payer relationships, and align contracts with organizational goals.

Minimum Qualifications

• Required: Bachelor’s degree in a relevant field such as:

  • Healthcare Administration
  • Business Administration
  • Finance or Accounting
  • Economics
  • Public Health

• Required, minimum 5 years:

  • Managed care contracting and reimbursement experience
  • Healthcare finance and/or revenue cycle operations experience
  • Data analytics and financial modeling

• Preferred:

  • Master of Business Administration or Master of Health Administration or like degree

Physical Demands

Must possess good physical health. Some requirements include but are not limited to standing, sitting or walking for long periods of time. Lifting at least 20 pounds is required.

Physical Effort required:

Constant (67%-100%) – handling/feeling, talking, hearing, seeing

Frequently (34%-66%) - reaching

Occasionally (1%-33%) – lifting, carrying, pushing/pulling, balancing, stooping, crouching

EMPLOYMENT

Each St. Tammany Health System staff member is expected to conduct himself or herself according to our mission, vision and values.

EQUAL OPPORTUNITY EMPLOYER

St. Tammany Health System is an Equal Opportunity Employer. St. Tammany Health System is committed to equal employment opportunity for all employees and applicants without regard to race, color, religion, sex, age, national origin or ancestry, citizenship, sexual orientation, gender identity, veteran status, disability status, genetic information or any other protected characteristic under applicable law.