Director of Payor Contracting
Summit Health
- Georgia
- Permanent
- Full-time
- 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.
- Strong relationship management skills, with both internal and external parties
- Strong communication skills (verbal, written, presentation)
- Ability to manage multiple priorities and short deadlines
- 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
- 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