Job Description
Description General Summary Is responsible for oversight of the Payor Contract Analyst (PCA) Team; coordinating and facilitating the maintenance and management of payor relationships on behalf of WellSpan Health, as well as the operational management of the Wellspan System contracts. This includes being a resource in the support of the Payor Contract Analysts and other functional areas that deal directly with payors. Facilitates planning and decision making and is responsible, within defined sc…
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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