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Charlotte, NC, United States
Job ID: 24981
Job Family: Director/AVP (Dept Head)
Status: Full Time
Shift Details: Regular
Department Name: 51011028341157-Contract Modeling and Support
Location: Atrium Corporate Operations
The Director, Payer Contract Analysis and Support, develops and maintains analytical tools, manages and trains staff, and uses data to provide recommendations on reimbursement methodology and rates for managed care contracts as well as on negotiation strategy. The director will prepare financial analyses of current state, model the financial impact of potential reimbursement methods and rates, and determine the optimum structure and rates for MHR proposals during negotiations with managed care organizations. Working primarily within MHR for the MHR management team, the Director, Payer Contract Analysis and Support is largely impacted by the managed care contracting cycle. The Director, Payer Contract Analysis and Support, also has regular and frequent interactions with CHS Senior Management.
Performs most work under normal office conditions. Work may include sitting for long periods of time, standing, walking, using repetitive wrist/arm motion or lifting articles up to 25 pounds.
Education, Experience and Certifications
Bachelor’s Degree required, advanced degree, MBA or MHA preferred. Minimum of seven years in health care finance, planning or managed care analytics experience in provider or MCO setting is required. Must possess strong business analytical and statistical skills, understanding of healthcare reimbursement, and coding. Must be proficient with large sets of data and be able to provide concise, clear deliverables for executive level use. Five years of successful experience managing professional staff in a dynamic environment is required. Expertise with personal computers and Microsoft Office Professional software required. Expertise with decision support and database tools such as HPM/HBI, Access, SQL Server, Crystal Reports preferred.