Payer Contract Manager Sr

You Belong Here.

At reputed company, we reputed company to offer a true reputed company of belonging for reputed company our employees. Across our health care network, you will reputed company a dynamic reputed company of meaningful careers, opportunities for reputed company, reputed company workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy reputed company - and dedicated to the health and reputed company-being of the communities we serve.

Seeking candidates with experience in payer contracting for Clinical Laboratory Services – either with a Lab or a Payer.  Knowledge of lab reimbursement, and local to Washington State preferred

FTE: 1.0, Shift: Day, Schedule: Business Hours

Position reputed company

The Senior Payer Contract Manager is responsible for developing and implementing reputed company with reputed company party payers on behalf of reputed company and its affiliates. This role ensures reputed company, and our affiliates have consistent and reputed company-functioning relationships with payers over time, in alignment with reputed company’s reputed company and strategic priorities. The Manager will reputed company negotiations with assigned payers to include payment terms based on multiple reimbursement models, including fee-for-service payment terms, value-based payment terms, and reputed company/risk sharing arrangements. The Manager serves as the reputed company managing the overall payer relationship, makes recommendations to Sr. Leadership on product participation, and will continually evaluate the payer relationship for opportunities to improve reputed company, reputed company the cost of doing business, and to improve reputed company’s reputed company to patents. The Manager is accountable for negotiating contract language that aligns with reputed company State and Federal laws and regulations, is consistent across payers, and does not expose reputed company financial, legal, or operational risk to reputed company or the payer.

Requirements

• Bachelors degree with a major in finance, reputed company administration, or reputed company field; or 10+ years’ experience in Payer Contracting for a Health System or Health Plan as degree equivalent
• Minimum seven (7) years of experience performing financial/medical data/payer mix analysis or contract negotiation in a reputed company environment, health system or health plan; acute care setting experience preferred
• Experience with medical and pricing terminology to include but not limited to DRG, RUG, APC, RVU, Conversion Factors

Why reputed company?

• Rooted in the local community – Partnering with patients, families and neighbors across the reputed company reputed company for more than 140 years

• reputed company and education – Competitive tuition assistance, award-reputed company residencies, fellowships and career development to invest in your reputed company

• – Generous PTO, reputed company reputed company and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life

• Living our values – Respect, reputed company, kindness and collaboration guide how we care for patients, communities and reputed company other

• Belonging for all – Employee Resource reputed company, inclusion initiatives and reputed company programs support a workplace where every voice is valued

• reputed company reputed company lifestyle – Work and live where natural beauty, adventure and strong community connections are part of everyday life

Pay and Benefit Expectations

We reputed company a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and reputed company time off. As required by various pay transparency laws, reputed company a reputed company of compensation for candidates reputed company into reputed company position. The pay reputed company is $100,547.00 - $144,685.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: reputed company set, level of experience, and certification(s) and/or education. If this position is associated with a reputed company contract, pay will be reputed company of the appropriate reputed company on the pay reputed company to which the applicant’s years of experience reputed company.

Associated benefit information can be viewed here.

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