Director of Payor Contracting at Innovative Renal Care

Director of Payor Contracting

Overview:

The Director of Payor Contracting is responsible for overseeing all contracts and contract administration, performed by the Payor Contracting team. The Director of Payor Contracting will utilize a strong knowledge of business procedures to actively manage the Contracting department. This individual consults with the Accounts Receivable department on contracting needs and works closely with various internal departments such as Account Management, Business Operations, Finance and Legal.

This position is remote.

Essential Functions:

• Oversees organizational contract development and management activities and enforces organizational principles of integrity and compliance.
• Reviews Accounts Receivable revenue and determines areas of need for new or updated insurance contracts.
• Research and determine ownership and affiliations of insurance companies.
• Build and maintain relationships with insurance company contractors.
• Make recommendations for pursuing new or updated contracts.
• Approve standards for contracts, including presentation of payment terms, general language, and provisions, as developed by the Manager.
• Develop guidance for department on negotiation strategies that minimize potential losses and benefit the organization’s financial performance.
• Identifies opportunities to create efficiencies and add value to the Contracting team, initiates process changes to improve and streamline where necessary.
• Manages large-scale projects in support of department and company initiatives.
• Assist staff in developing contract negotiations skills and assist in negotiations when necessary.
• Oversee and monitor completion of contracts by the Contracting team and provide final approval on completed contracts.
• Review contracts and applications for accuracy and provide resolution for any questions.

Education and Experience:

• Bachelor’s degree in business administration or healthcare administration required.
• Master’s degree preferred.
• 7-10 years of contracting experience within the healthcare industry.
•  3-5 years of management or supervisory experience.
• Demonstrated ability to train and develop staff, applying applicable knowledge and experience.
• Proficiency in Microsoft Office and Adobe applications required.
• Ability to work with and maintain sensitive, confidential and HIPPA information required.
• Ability to utilize tactful and professional written and oral communication.

Why choose Innovative Renal Care?

Innovative Renal Care (IRC) provides high-quality care to patients suffering from End Stage Renal Disease (ESRD) and other kidney conditions. Together, we are one of the largest dialysis service providers in the United States. We partner with local physicians, enabling them to provide exceptional dialysis care to patients.  

Our team lives by our values of Integrity, Innovation, Compassion, Accountability, Results Driven and Everyone Counts!

• Innovation & Integrity - Deliver on our promises with dedication and clarity. Engage and empower others by sharing ideas and successes.
• Compassion - Treat patients and their families with the utmost respect and empathy.
• Accountability - Take ownership when resolving issues and solving problems, trusting others to support us.
• Results Driven - Keep raising the bar for our own performance, helping, and encouraging our colleagues to do the same.
• Everyone Counts - Respect people of all backgrounds.  Strive to create a diverse and equitable workplace.  

Equal Opportunity Employer:
Innovative Renal Care is an equal opportunity employer and a drug free workplace.  All qualified We applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability, or protected veteran status.  

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)