Mercy Health

  • VP-Regl Payor Rel & Contractng

    Requisition ID
    2019-791077
    Category
    Leadership
    Position Type
    Full Time
    Shift(s)
    Days
    Department
    Managed Care Consulting
    Location
    US-MO-Springfield
  • Overview

    Job Template Header

     

    We’re a Little Different

     

    Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.  

     

    We don’t believe in jobs at Mercy, we believe in careers that match the unique gifts of unique individuals; careers that not only make the most of your skills and talents, but also your heart.

     

    At Mercy, you’ll feel our supportive community every step of your day, especially the tough ones. We’re a team and love working that way. That team is expanding, and we currently have exceptional opportunities to help our communities grow.

     

    Manages and coordinates the various functions of Managed Care payor and health care provider contracting across Mercy, including assessment of contract performance, contract negotiations, and payor relationships. This responsibility includes all health care services within Mercy, including, hospitals, physicians, ambulatory and home services.

     

    Responsibilities and Qualifications

    Directs the coordination of key contract negotiation strategies with Mercy Hospitals/Regional Managed Care Leaders.

    Participates in major contract negotiations by Payor and Mercy Hospitals.

    Evaluates contract rates, structure, and strategies for major contract negotiations.

    Works with Mercy Revenue Management and Mercy Hospitals Finance and Managed Care leadership and personnel to model and analyze managed care results by plan and by clinical service line. This information and knowledge will be used to develop managed care strategies and prepare for specific contract negotiations.

     

     

     

     

    Because you’re committed to excellence, you understand the importance of being properly prepared for your role at Mercy. That’s why you’ll bring to your role the right set of qualifications:

     

    • Education: Bachelor's degree required; Master's degree preferred
    • Ten years of managed care experience

    • Extensive commercial health plan and hospital contracting/network management work experience

    • Knowledge of key negotiation principles and strategies

    • A proven track record of success in the development and implementation of innovative and progressive managed care strategies and contracting principles for negotiation success

       

       

     

    We’ll Support You at Work and Home

     

    Our foundations are built on dignity and respect. Modern Healthcare Magazine named us as a “top 100 places to work.” We go out of our way to help people feel welcomed. We offer day-one comprehensive health, vision and dental coverage, PTO, and employer-matched retirement funds, even to part-time employees. We’re proud to provide tuition reimbursement to help you grow and learn new skills.

     

    What Makes a Good Match for Mercy

     

    Compassion and professionalism go hand-in-hand with us, along with exceptional quality care. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and are not afraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a fit for you as well, we encourage you to apply.

    Keywords

    managed care, direct contracting, managed care payor, healthcare, Vice President, Executive Director,contract negotiations, payor relationships, commercial health plan,hospital contracting,network management

    Job Board Tags

     

    #LI-TM1

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed

    Connect with Mercy

    What if I am not ready to apply? Submit your resume here and be considered for future opportunities!