Director of Payor Contracting
Apply NowCompany: Ivy Rehab Network
Location: White Plains, NY 10605
Description:
State of Location:
New York
Position Summary:
At Ivy Rehab, we're "All About the People"! As a Director of Payor Contracting, you will play a crucial role in our mission to help enable people to live their lives to the fullest.
Join Ivy Rehab's dedicated team where you're not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient.
Job Description:
The Director of Payor Contracting will report to the VP of Payer Strategy & Engagement and will serve as a relationship manager that will provide leadership, direction and ongoing administration and management of Ivy's payer strategy and contracting.
This position has the opportunity to work remotely with up to 10-20% travel required in the field for business meetings.
Your responsibilities will include:
To excel in this role, you should possess:
Why choose Ivy?
#LI-remote
#LI-ST1
We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.
ivyrehab.com
New York
Position Summary:
At Ivy Rehab, we're "All About the People"! As a Director of Payor Contracting, you will play a crucial role in our mission to help enable people to live their lives to the fullest.
Join Ivy Rehab's dedicated team where you're not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient.
Job Description:
The Director of Payor Contracting will report to the VP of Payer Strategy & Engagement and will serve as a relationship manager that will provide leadership, direction and ongoing administration and management of Ivy's payer strategy and contracting.
This position has the opportunity to work remotely with up to 10-20% travel required in the field for business meetings.
Your responsibilities will include:
- Overseeing payor contract directory activities, including submission of new clinicians and adds / changes to health plans
- Advising the management team on emerging industry trends and methodologies in managed care contracting, payor relations, and legal issues
- Monitoring new CMS requirements and ensures contract meet the requirements
- Formulating and implementing strategies and initiatives for payor contracting strategies that support business growth and maximizing contract performance and yield
- Possessing extensive market intelligence in order to negotiate strong contracts, and handle payor escalations when higher level issues need to be resolved
- Assisting in evaluating new partnerships in collaboration with other functional teams
- Daily oversight of the contracting teams including establishing metrics to measure performance, monitoring of overall quality, determining team priorities, and managing workflows
- Identifying or creating tools, financial modeling systems or other resources to assist with payor contract evaluations
- Ability to analyze complex data sets resulting in payor contract financial modeling
- Creation of executive leadership and board level presentation materials for purposes of defining Ivy's payor strategy
- Engagement in thorough review of market expansion opportunities during due diligence of potential strategic partners and acquisitions
- Liaison between Ivy operations and Payor partners to remediate payor issues including, but not limited to, claims, credentialing, & authorization
To excel in this role, you should possess:
- Education: Bachelor's Degree from an accredited institution preferably in Business Management, Healthcare Administration or equivalent
- Minimum of 10+ years of experience in a payor contracts focused position in large, clinician-based healthcare networks
- Must have 4+ years of management experience, and 10+ years of experience in payor contract negotiations
- Extensive experience working within a heavy managed care environment
- Proven ability to solve complex issues and manage complex business relationships
Why choose Ivy?
- Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture.
- Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes.
- Incentives Galore: Eligibility for full benefits package beginning within your first month of employment. Generous PTO (Paid Time Off) plans and paid holidays.
- Exceptional Partnerships: Collaborate with leaders like Hospital for Special Surgery (HSS) and educational partners for continuous learning.
- Empowering Values: Live by values that prioritize teamwork, growth, and serving others.
#LI-remote
#LI-ST1
We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.
ivyrehab.com