Vice President Payor Contracting - Managed Care

Reading Hospital; Reading (Berks County); On-site; USD 120,000 - 160,000; Full time

Job summary

Reading Hospital in Berks County, PA is seeking a Vice President of Payor Contracting to lead the charge in managing payor relationships and contract negotiations. This role is crucial for developing strategies that ensure financial integrity and build partnerships with payors.

The candidate will need a Bachelor’s degree and experience in managing payor relationships, complemented by strong communication and negotiation skills. Join us in making a significant impact in our contracting processes.

Qualifications

• Relevant experience managing payor relationships and leading negotiations.
• Expertise in payors and managed care to inform decision making and operational improvements.

Responsibilities

• Plan, direct, and coordinate contract language, rate pricing, negotiations, and payor management.
• Build and maintain strong relationships with key constituents.
• Develop a Contracting Model and payor strategy for the Health System.

Skills

Excellent Communication

Negotiation Skills

Financial and Business Acumen

Analytical Skills

Strategic Thinking

Leadership Skills

Organizational Skills

Education

Bachelor's Degree

Job description

Job Summary

In this impactful role, the Vice President of Payor Contracting is responsible for planning, directing, and coordinating the policies, goals and objectives related to contract language and rate pricing, negotiation strategy, planning and execution, revenue reconciliation, and payor strategy for the system.

• Gains an understanding of the current contracts and closes out open negotiations.
• Plans, directs, and coordinates contract language, rate pricing, negotiations, revenue reconciliation, and payor relationship management.
• Builds an infrastructure that supports a strong payor contracting department.
• Provides strategic leadership, financial and administrative oversight of payor contracting and operations.
• Creates a partnership culture with payors.
• Builds strong relationships with key constituents throughout the organization especially with clinical leadership, senior leadership, and the Finance department.
• Collaborates with system leadership to assure financial integrity is achieved and maintained for provider contracts.
• Develops a Contracting Model and a payor strategy for the Health System.
• Develops materials for meetings with payors.
• Builds corporate knowledge of all financial aspects of government program reimbursement methodologies and prevalent reimbursement methodologies.
• Determines reporting and benchmarking reports and audiences.
• Leads the movement towards risk-based contracting.

Qualifications

Experience

• Relevant experience managing payor relationships and leading negotiations
• Expertise in payors and managed care to inform decision making and operational improvements
• Proven strength in building and maintaining strong relationships internally and externally with key constituents

Education Requirements

• Bachelor's Degree
• Completes and maintains all competencies and trainings as required for role.

Required Skills

• Excellent Communication, Interpersonal, and Listening Skills
• Financial and Business Acumen
• Strategic Thinking
• Negotiation Skills
• Analytical Skills
• Leadership Skills
• Collaborative Skills
• Strong Team Player
• Delegation Skills
• Detail Oriented
• Computer skills including Microsoft Office applications
• Organizational Skills
• Presentation Skills
• Service Orientation
• Accountable for maintaining workplace safety