Director, Payor Relations
Core
Develop and maintain relationships with managed care organizations to secure, manage, and renegotiate revenue-generating healthcare service contracts for CCHCS entities and providers.
Role type
Director, Payor Relations
Builds
Commercial and government-funded managed care contracts
Domain
Healthcare / Insurance / Contract Management
Deliverable
client delivery
Required skills
contract negotiation, payor relations, medical terminology, commercial insurance knowledge, state insurance knowledge, federal government insurance knowledge, claims issue resolution, staff supervision
Preferred skills
Bachelor's degree
Technologies
N/A
Responsibilities
Manage payor intelligence, oversee contract implementation and validation, follow up on contract-related claims issues, foster relationships with outside payors
Seniority
Director, strategic leadership & staff supervision