Director of Payer Relations

Drive execution of managed care initiatives, financial and operational performance with engagement and management of key payer relationships.

• Drive execution of managed care initiatives, financial and operational performance with engagement and management of key payer relationships.
• Coordinate and manage relevant payer meetings to facilitate relationships and resolution of issues.
• Research and escalate emerging payer issues and drive problem resolution.
• Develop and implement strategic and operational goals and objectives.
• Ensure policies and procedures are current and in compliance with applicable regulations and standards.
• Make recommendations based on changes and trends in the area of managed care, reimbursement and applicable state and federal regulatory environment.
• Analyze and interpret system-wide information and provide system and local level leadership with observations and action plans to address trends.
• Collaborate with executive leadership to define strategic priorities, clarify scope of work, and ensure alignment with organizational objectives.
• Drive issue resolution by proactively identifying and mitigating risks.
• Reinforce the preparation and development process of presentations, financial reports, and operational metrics to enhance decision making.

• High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management
• Additional Preferences: 3-5 years of leadership experience, running executive level meetings, preferred.
• 3-5 years of working on either payer or provider side, preferred.
• Knowledge and experience with claim payer provider issues and resolutions, a must have.

• Paid time off (PTO)
• Various health insurance options & wellness plans
• Retirement benefits including employer match plans
• Long-term & short-term disability
• Employee assistance programs (EAP)
• Parental leave & adoption assistance
• Tuition reimbursement

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.