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Director of Payor Contracting in Louisville, KY at APEX Systems

Date Posted: 3/15/2019

Job Snapshot

  • Employee Type:
    Contractor
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    3/15/2019

Job Description

Job #:  949179

Director of Payor Contracting

Apex Systems, the nation’s 2nd largest IT Staffing organization, has an immediate and exciting opportunity located in Louisville, KY. This is a three month contract opportunity.

If interested in applying please email your most up to date resume to Kelsey O'Bryan: kobryan@apexsystems.com.

If you’d like to receive Job Alerts from Apex that match your specific criteria, visit itcareers.apexsystems.com.

 

Responsible for maintaining the business relationship between our client and all 3rd party payers.

Essential Functions: Leads all 3rd party payer contract negotiations and all other contract related discussions with payers.

 

•  Manages and negotiates national and regional 3 rd Party Payer contracts to ensure company’s objectives are met in a timely manner.

•  Assists in the maintenance and development of applicable strategies and financial reporting.

•  Assists in development of presentation materials for internal and external meetings. Analyzes applicable 3 rd Party Payer contracts, associated documents and proposed fees, and negotiates financial terms of contracts

•  .Analyzes existing terms to determine if re-negotiation is warranted.

•  Serves as the company’s primary business owner and conduit for each 3rd party payer.

•  Coordinates negotiations with key internal and external stakeholders.

•  Responds to internal concerns related to 3rd party contracts.

•  Directs and performs analysis necessary to ascertain payer compliance with contractual obligations.

•  Pursues disputes with 3rd party payers.

•  Performs other tasks as assigned

•  Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.

•  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Director, Payor Relations and Contracting Position Qualifications

 

 

 

 

 

 

 

 

EEO Employer

Apex is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at 844-463-6178

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