Payer Contracting Manager – Transplant Program

Emploi pas sur LinkedIn

🕒 il y a 1 mois

⛰️ Colorado, Idaho, +4 états de plus – Distant

⛰️ Colorado – Remote 🥔 Idaho – Remote 🦬 Montana – Remote 🎰 Nevada – Remote ⛷️ Utah – Remote 🦬 Wyoming – Remote

💵 $59 - $91 / heure

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

👻 Score fantôme 28%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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IMH

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2007

🏗️ Construction

📦 Logistique

🛡️ Assurance

Construction • Logistics • Insurance

IMH est l'entité de Groupe IMA offrant une assistance complète au logement et des services après sinistre à travers la France. Elle gère 24/7 les appels d'urgence et les interventions rapides pour les incidents domestiques (incendies, dégâts des eaux, pannes électriques, serrurerie), propose une expertise des dommages à distance et une estimation des coûts, et organise des réparations en nature grâce à un réseau national d'entrepreneurs certifiés. IMH exploite également des plateformes numériques pour soutenir l'estimation de projets et les offres de services à domicile payants, coordonne les réponses aux catastrophes à grande échelle, et connecte les assureurs, les bénéficiaires et les prestataires via son réseau de prestataires accrédités.

Description

• Strategically manage payer and specialty network relationships supporting transplant programs • Partner with business development and operational leaders to expand transplant outreach agreements, strengthen referral networks, and drive program growth • Oversee assigned contracts, including negotiation support, contract and relationship management, reimbursement issue resolution, and rate optimization • Serve as the primary contracting lead for transplant-related payer agreements across Intermountain Health • Research and negotiate contract rates and methodologies and resolve disputes • Maintain expertise in contract and amendment language, rates, methodologies, and contracted providers and facilities • Ensure contracting documentation, payment rates, methodologies, storage, and escalated issues follow standard practices • Represent Payer Contracting and Intermountain Health in key relationships and lead Joint Operating Committees • Establish and maintain long-term relationships with aligned payers • Coordinate with Finance and Revenue Cycle leadership on risk-based contracting and proactive care strategies • Coordinate with Legal and Compliance on contract accuracy, regulatory compliance, and language consistency • Provide leadership and mentorship to Payer Contracting Managers

🎯 Exigences

• Experience leading and supporting complex negotiations • Experience in a professional role requiring effective verbal and written communication to present advanced topics clearly, concisely, polished, and professionally • Ability to synthesize extensive amounts of data into clear and concise summaries without sacrificing material details • Experience leading teams, including cross-functional teams • Demonstrated experience mentoring teams and caregivers • Preferred: experience negotiating complex payer agreements, transplant center of excellence arrangements, specialty network contracts, and/or advanced reimbursement models • Strong understanding of case rates, bundled payments, carve-out agreements, and high-acuity service reimbursement • Ability to travel frequently to negotiate contracts with payers • Ability to see and read information, documents, and monitors and assess customer needs • Ability to verbally communicate and hear and understand spoken information quickly and accurately • Manual dexterity for frequent computer use and manipulating complex and delicate equipment • May be expected to drive a vehicle

🏖️ Avantages

• Annual salary in addition to potential sign-on and relocation bonus when applicable • Eligibility to participate in the Annual Pay for Performance (AP4P) Plan • Performance compensation opportunity calculated as a percentage of base salary • Comprehensive benefits package covering wellness, health, security, connection, and engagement programs • Company equipment and remote work support