Director of Payer Relations

About the role

Responsible to contribute to the growth and profitability of Billings Clinic by professionally managing services and activities for service line and for strategic planning and administration of Billings Clinic. Responsible for corporate administration of external relations with payers, joint ventures, vendors, providers, and others.

Responsibilities

• Develops, implements and assists in the advancement of the mission, vision, and values of Billings Clinic establishing a vision of excellence with a customer service orientation and demonstrated quality outcomes.
• Participates in establishing philosophy and culture of Billings Clinic. Leads groups through strategic planning sessions and motivates team to execute strategic objectives.
• Ensures the success and credibility of Billings Clinic through the delivery of innovative, quality, cost efficient programs. Leads the administration and ongoing refinement of comprehensive programs, including well defined protocols, policies and procedures assuring high quality standards and the cost effective delivery of the appropriate level of care in the appropriate care delivery setting.
• Provides consultation services for community and health care providers.
• Develops/maintains financial and budgetary goals/objectives and oversees/assists with the development of departmental business plans which support Billings Clinic goals and objectives.
• Participates in evaluating, selecting and integrating health care technology and information systems that support quality of care, financial needs and efficient use of resources.
• Oversees payer relations, develops/negotiates contracts and manages payer compliance functions.
• Makes recommendations regarding payer relations operations and budget to ensure efficient use of resources and focus on strategic priorities.
• Directs, develops and markets senior services/programs to enhance quality of service offerings and explores/develops opportunities for cooperative ventures with external senior service providers.
• Researches health-related products/services that enhance senior services offered by Billings Clinic.

Requirements

• Minimum 4 Year / Bachelors Degree in a related field
• 6 years Leadership experience

Qualifications

• Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.

Skills

• Strategic Planning
• Customer Service Orientation
• Quality Management
• Healthcare Administration
• Contract Negotiation
• Financial Analysis
• Healthcare Technology Integration
• Provider Enrollment
• Market Intelligence
• Senior Services Marketing

Benefits

N/A

Pay

N/A

Schedule

N/A