Job Description
Job Description Job Description JOB TITLE: Director of Payor Contracting FLSA STATUS (Exempt/Non-Exempt): Exempt SUPERVISION RECEIVED: Reports to Chief Executive Officer SUPERVISION EXERCISED: Payor Contracting and Reimbursement Staff GENERAL STATEMENT OF DUTIES Responsible for leading and managing Premier and Philadelphia Hand to Shoulder payor contracting strategy and contract portfolio across commercial, Medicare Advantage, Managed Medicaid, workers' compensation, auto, and other applicable …
8:00 AM
Review a contract amendment proposal from Cigna. They want to roll back reimbursement rates on 12 procedure codes by 8%. You pull…
9:30 AM
Modeling session. You're building a financial model in Excel showing the impact of three different negotiation scenarios for the u…
11:00 AM
Contract negotiation call with Blue Cross Blue Shield. You've been at the table with them for six weeks. Today's agenda: hospital-…
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