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DIR-PAYOR CONTRACTING

Date: Nov 8, 2020

Location: Greenville, SC, US, 29615

Company: Prisma Health

Bilingual (Spanish / English) candidates are encouraged to apply.

Requisition # 60113 

Employment Type Full-time 

Job Class
DIRECTOR
FLSA
Exempt
Job Summary

<span style="font-family:"Calibri",sans-serif">The Director of Payor Contracting is responsible for managed care contracting and the implementation, communication and development of additional partner relationships.  This role is both strategic and tactical, with a strong component of external communication and engagement with the market to ensure financial viability in the changing reimbursement environment and industry best practices.  Develops and executes financially viable contracts, including new reimbursement methodologies. Responsible for the planning, directing, and coordinating the managed care goals, policies, and objectives relating to negotiating strategy, planning and execution, revenue reconciliation, and payer relationship management.  Provides leadership, financial and administrative oversight of managed care contracting and relationships with payors or partners on behalf of Prisma Health.   

Supervisory/Management Responsibilities
Job has direct and/or indirect supervision of employees that may include final budget authority, hire/termination/disciplinary authority, performance appraisal responsibility. Job will be considered a member of the management staff with direct reports..
Minimum Education

Master's Degree - Accounting, Finance, Business, or related field

Minimum Experience

<span style="font-family:"Calibri",sans-serif">8 years - At least 8 years of managed care experience or healthcare finance with at least 5 years of management experience. 

Required Certifications/Registrations/Licenses
NOT APPLICABLE
Specific Acceptable Credentials (if applicable)

N/A

In lieu of the Above Minimum Requirements

<span style="font-family:"Calibri",sans-serif">Bachelor's degree and 10 years of relevant experience may be considered in lieu of Master's Degree

Other Required Experience

N/A

Position Posting Category

Management / Leadership


Nearest Major Market: Greenville
Nearest Secondary Market: South Carolina

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