Vice President Payor Contracting - Payer Managed Care

About the Role

In this impactful role, the Vice President of Payor Contracting is responsible for planning, directing, and coordinating the policies, goals, and objectives related to contract language and rate pricing, negotiation strategy, planning and execution, revenue reconciliation, and payor strategy for the system.

• Gain an understanding of the current contracts and close out open negotiations.
• Plan, direct, and coordinate contract language, rate pricing, negotiations, revenue reconciliation, and payor relationship management.
• Build an infrastructure that supports a strong payor contracting department.
• Provide strategic leadership, financial, and administrative oversight of payor contracting and operations.
• Create a partnership culture with payors.
• Build strong relationships with key constituents throughout the organization, especially with clinical leadership, senior leadership, and the Finance department.
• Collaborate with system leadership to assure financial integrity is achieved and maintained for provider contracts.
• Develop a Contracting Model and a payor strategy for the Health System.
• Develop materials for meetings with payors.
• Build corporate knowledge of all financial aspects of government program reimbursement methodologies and prevalent reimbursement methodologies.
• Determine reporting and benchmarking reports and audiences.
• Lead the movement towards risk-based contracting.

Qualifications

Experience

• Relevant experience managing payor relationships and leading negotiations.
• Expertise in payors and managed care to inform decision making and operational improvements.
• Proven strength in building and maintaining strong relationships internally and externally with key constituents.

Education Requirements

• Bachelor's Degree.
• Completes and maintains all competencies and trainings as required for role.

Skills

• Excellent Communication, Interpersonal, and Listening Skills.
• Financial and Business Acumen.
• Strategic Thinking.
• Negotiation Skills.
• Analytical Skills.
• Leadership Skills.
• Collaborative Skills.
• Strong Team Player.
• Delegation Skills.
• Detail Oriented.
• Computer skills including Microsoft Office applications.
• Organizational Skills.
• Presentation Skills.
• Service Orientation.
• Accountable for maintaining workplace safety.

About the Organization

Tower Health is a regional integrated healthcare system that offers leading-edge, compassionate healthcare and wellness services to communities in Berks, Chester, Montgomery, and Philadelphia Counties. With 1,200 beds across the system, Tower Health consists of Reading Hospital in West Reading; Phoenixville Hospital in Phoenixville; Pottstown Hospital in Pottstown; and St. Christopher's Hospital for Children, a partnership of Tower Health and Drexel University in Philadelphia.

Discover why our hospital is a great place to work—take a virtual tour of Reading Hospital here.