Director of Payor Contracting
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<p style="text-align:left"><b>State of Location:</b></p>Tennessee<p style="text-align:inherit"></p><p style="text-align:left"><b>Position Summary:</b></p><p style="text-align:inherit"></p>At Ivy Rehab, we're "All About the People"! As a Director of Payor Contracting, you will play a crucial role in our mission to help enable people to live their lives to the fullest.<p style="text-align:inherit"></p><p style="text-align:left"><span><span>Join Ivy Rehab</span><span>’s dedicated team where </span><span>you’re not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient.</span></span></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Job Description:</b></p><p style="text-align:inherit"></p><p>The Director of Payor Contracting will report to the VP of Payer Contracting & Strategy and will serve as a relationship manager that will provide leadership, direction and ongoing administration and management of Ivy’s payer strategy and contracting. </p><p></p><p>This position has the opportunity to work remotely with up to 10-20% travel required in the field for business meetings.</p><p></p><p><b>Your responsibilities will include: </b></p><ul><li><p>Overseeing payor contract directory activities, including submission of new clinicians and adds / changes to health plans</p></li><li><p>Advising the management team on emerging industry trends and methodologies in managed care contracting, payor relations, and legal issues</p></li><li><p>Monitoring new CMS requirements and ensures contract meet the requirements</p></li><li><p>Formulating and implementing strategies and initiatives for payor contracting strategies that support business growth and maximizing contract performance and yield</p></li><li><p>Possessing extensive market intelligence in order to negotiate strong contracts, and handle payor escalations when higher level issues need to be resolved</p></li><li><p>Assisting in evaluating new partnerships in collaboration with other functional teams</p></li><li><p>Daily oversight of the contracting teams including establishing metrics to measure performance, monitoring of overall quality, determining team priorities, and managing workflows</p></li><li><p>Identifying or creating tools, financial modeling systems or other resources to assist with payor contract evaluations</p></li><li><p>Ability to analyze complex data sets resulting in payor contract financial modeling</p></li><li><p>Creation of executive leadership and board level presentation materials for purposes of defining Ivy’s payor strategy</p></li><li><p>Engagement in thorough review of market expansion opportunities during due diligence of potential strategic partners and acquisitions</p></li><li><p>Liaison between Ivy operations and Payor partners to remediate payor issues including, but not limited to, claims, credentialing, & authorization</p></li></ul><p></p><p><b>To excel in this role, you should possess:</b></p><ul><li><p>Education: Bachelor's Degree from an accredited institution preferably in Business Management, Healthcare Administration or equivalent</p></li><li><p>Minimum of 10+ years of experience in a payor contracts focused position in large, clinician-based healthcare networks</p></li><li><p>Must have 4+ years of management experience, and 10+ years of experience in payor contract negotiations</p></li><li><p>Extensive experience working within a heavy managed care environment</p></li><li><p>Proven ability to solve complex issues and manage complex business relationships</p></li></ul><p></p><div><p><b><span>Why choose Ivy</span><span>? </span></b><span> </span></p></div><div><ul><li><p><b><span>Best Employer:</span></b><span><span> A prestigious honor to be recognized by </span></span><a href="https://www.modernhealthcare.com/" target="_blank" rel="noopener noreferrer"><u><span>Modern Healthcare</span></u></a><span><span>, signifying excellence in our industry and providing an outstanding workplace culture. </span></span><span> </span></p></li></ul></div><div><ul><li><p><b><span>Exceeding Expectations:</span></b><span><span> Deliver best-in-class care and </span><span>witness</span><span> exceptional patient outcomes</span><span>. </span></span><span> </span></p></li></ul></div><div><ul><li><p><b><span>Incentives Galore: </span></b><span><span>Eligibility for full benefits package beginning within your first month of employment. Generous PTO (Paid Time Off) plans and paid holidays.</span></span><span> </span></p></li></ul></div><div><ul><li><p><b><span>Exceptional Partnerships: </span></b><span><span>Collaborate with leaders like Hospital for Special Surgery (HSS) and educational partners for continuous learning</span><span>. </span></span><span> </span></p></li></ul></div><div><ul><li><p><b><span>Empowering Values:</span></b><span><span> Live by values that prioritize teamwork, growth, and serving others.</span></span><span> </span></p></li></ul><p></p></div><p>#LI-remote</p><p>#LI-ST1</p><p style="text-align:inherit"></p><p style="text-align:left"><i>We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits.</i></p><p style="text-align:inherit"></p><p style="text-align:left"><a href="http://ivyrehab.com" target="_blank" rel="noopener noreferrer">ivyrehab.com</a></p><p style="text-align:inherit"></p>