Regional Vice President of Network Payor and Relations

Nova Medical Centers; Memphis (TN); Remote; USD 100,000 - 125,000; Full time

Job summary

An established industry player is seeking a Regional Vice-President of Network & Payor Relations to enhance their services in the growing field of occupational healthcare. This role requires a dynamic leader with a proven track record in the workers compensation managed care industry, capable of fostering strong partnerships and driving business development. The successful candidate will work collaboratively to promote the company's offerings, support sales initiatives, and navigate the complexities of network/payor relationships. Join a forward-thinking organization that prioritizes the health and wellness of America's workforce while delivering exceptional service and value to employers and payors.

Qualifications

• 5+ years of experience in workers compensation managed care industry.
• Proven track record in outside sales and account management.

Responsibilities

• Foster relationships with key network/payor decision makers.
• Assist in developing network/payor strategy in new markets.
• Provide support to sales and marketing efforts.

Skills

Workers’ Compensation laws and regulations knowledge

Excellent oral and written communication

PC literate, including Microsoft Office products

Leadership and management skills

Analytical and interpretive skills

Strong organizational skills

Excellent interpersonal skills

Conflict resolution and relationship management

Ability to work independently and as a team member

Education

Bachelor's degree from an accredited university

Job description

Overview

Regional Vice-President of Network & Payor Relations

NOVA MEDICAL CENTERS, one of the nation’s top occupational medicine providers, operates in multiple states throughout the country. Nova continues to adapt and evolve to meet the needs of employers and payors in the ever-changing area of occupational healthcare. Our commitment and dedication to our patients, customers and employees has allowed Nova to become the nation’s largest 100% pure worker’s compensation provider.

We achieve our success by providing exceptional turnkey services for the health and wellness of America’s workforce and by delivering unparalleled cost savings to employers and payors. These services include minor emergencies, injury care, pre-employment services, drug screens, physical therapy, online reporting, and an expanded complement of occupational health services.

With the growing demand of our services and expansion of medical centers, we are seeking to add a Regional Vice-President, Network & Payor Relations who has a proven track record in outside sales and account management in the worker’s compensation managed care industry. This person must possess the ability and skillset to promote service-line benefits, educate and influence network/payor relationships and expand our third-party contacts within the industry.

Responsibilities

• Foster deep relationships/partnerships with key network/payor and critical third party decision makers.
• Maintain ongoing relationships with networks/payors while identifying new contacts to expand and enhance existing relationships.
• Partner with and participate in business development efforts and evaluation of expansion feasibility including proactive payor discussions.
• Assist leadership in developing overall network/payor strategy in new and emerging markets in the Region.
• Work professionally and collaboratively, as the network/payor expert, to promote Nova Medical Centers' service offerings in the Region.
• Provide network/payor support to sales and marketing.
• Take lead in coordinating resolution of network/payor issues.
• Maintain up-to-date competitive information, including: network participation, network reimbursement, provider incentive arrangements, medical and utilization management practices, technology and electronic communication methods used.
• Knowledge and understanding of managed care policies and practices that meet local, state and federal regulatory requirements.
• Establish strong and supportive working relationships with other Nova departments/divisions.
• Perform other duties as assigned.
• Must live within Georgia or Tennessee.
• Remote work.

Minimum Requirements

• Must have a minimum of five (5) years of full-time experience in workers compensation managed care industry.
• Must have a bachelor’s degree from an accredited university.
• Should have relationships with carriers, TPAs, and brokers in workers’ compensation industry.

Experience

• Must have a minimum of five (5) years of full-time experience in workers compensation managed care industry.
• Must have a bachelor’s degree from an accredited university.
• Should have relationships with carriers, TPAs, and brokers in workers’ compensation industry.

Skills & Knowledge

• Knowledge of Workers’ Compensation laws and regulations as well as managed care practices.
• Excellent oral and written communication, including presentation skills.
• PC literate, including Microsoft Office products.
• Leadership/management/motivational skills.
• Analytical and interpretive skills.
• Strong organizational skills.
• Excellent interpersonal skills.
• Experience in successful conflict resolution and relationship management.
• Demonstrated ability to work independently and as a member of a team.