Director of Payor Contracting

Summit Health

  • Georgia
  • Permanent
  • Full-time
  • 22 days ago
About Our CompanyWe’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies , , , , and .When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.Job DescriptionReporting to the Vice President of Payor Contracting, the Director of Payor Contracting is responsible for implementing the Organization’s contracting strategy in multiple markets. The Director of Payor Contracting will utilize knowledge of fee-for-service contracting and reimbursement methods to assist the organization in achieving its strategic goals.Essential Job functions:
  • Lead contract negotiations for Physician, ASC, and Ancillary contracts
  • Work with key leaders (VP, SVP, CFO, etc.) to help develop the organization’s overall contracting strategy.
  • Support Business Development projects as they relate to the Payor relationships
  • Create a strategic framework for evaluating new Payer agreements
  • Develop, and maintain payor relationships in new markets
  • Work with internal teams (i.e., Clinical Operations, Risk Analytics, Business Development, etc.) to build consensus on key contracting decisions that impact workflows, and strategic goals in those areas.
  • Serve as the primary point of contact with Payors on proposed agreements.
General Job functions:
  • Strong relationship management skills, with both internal and external parties
  • Strong communication skills (verbal, written, presentation)
  • Ability to manage multiple priorities and short deadlines
Key Competencies:
  • Detailed knowledge and understanding of contract language
  • Familiarity with Value-Based Care concepts
  • Experience working across key internal stakeholders: Clinical Operations, Legal, Finance, Risk Analytics, etc
  • Ability to succinctly summarize complex agreements into key decision points and impacts
  • Experience building consensus at the Executive level
  • Working knowledge of Medicare, Medicaid, and Workman’s Compensation
Education, Certification, Computer and Training Requirements:
  • Bachelor’s degree from an accredited college
  • A minimum of 5-10 years of professional experience in the healthcare industry
  • A minimum of 3-5 years of professional experience in payor contract negotiations
  • Experience working with value-based contracts is strongly preferred
  • Experience working within an integrated healthcare system or a health insurance provider is strongly preferred
About Our CommitmentTotal Rewards at VillageMDOur team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.Equal Opportunity EmployerOur Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.Safety DisclaimerOur Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, or file a complaint at .

Summit Health