BrightSpring Health Services
Director of Payer Contracts / Remote
BrightSpring Health Services, Englewood, Colorado, us, 80151
Our Company
Amerita
Overview Key responsibilities include but are not limited to the management of the Payer Contract Administration and Payer Implementation functions as well as PBM contracting and Managed Care contracting. This is a highly visible position and will work closely with Directors of Managed Care, RCM, Sales Executive and Field Management to provide research and solutions on payer related issues.
Schedule:
Monday - Friday, 8:30am-5pm - Remote
We Offer
Medical, Dental & Vision Benefits plus HSA & FSA Savings Accounts
Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance
401(k) Retirement Plan with Employer Match
Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
Employee Discounts
Tuition Reimbursement
Paid Time Off & Holidays
Responsibilities
Responsible for acquisition due diligence and integration related to government and commercial payers for all lines of business
Responsible for the pursuit of business growth related to payer contracting delivering substantial and profitable growth for the company, including opportunistically working with the field sales teams to support current and expansion markets
Acts as payer liaison focused on addressing Home Infusion Therapy (HIT) and PBM payer needs with appropriate resources and prioritization of value-added services and products
Oversees HIT managed care sales process, including negotiating terms with payers. Negotiations include discussion on payment rate and structure, and all aspects of contract language
Provides insight and knowledge in order to facilitate net revenue budgeting, long term planning, and the strategic planning for the organization
Participates in events that are important to the business, including trade shows and educational events to promote services, visibility and relevance with targeted payers
Manages highly complex market dynamics, including HIT and PBM payer issues, state and government regulations, payment issues, etc.
Consistently executes on business priorities and aligns team to the organizational goals
Manages payer contracting oversight responsibilities for any contracting cycle (new and amended), and credentialing
Qualifications
Bachelor’s degree in related field, Master’s preferred
Minimum of five (5) years of healthcare related experience, preferably with contracting and credentialing responsibilities (managed care, government, PBM); home infusion and medical clinic experience preferred
Excellent time management, prioritization and organizational skills
Experience in Outlook, Word, and PowerPoint desired
Strong organizational and interpersonal skills as well as ability to build lasting client relationships
Well-developed planning, marketing, organizational development, and business skills
General business and financial acumen; understanding of managed care terminology, contracting environment, procedures and workflows
Self-motivated and results oriented
Proficiency in Microsoft Office applications, including Excel, Word and PowerPoint
Proficiency in SalesForce.com or other CRM applications
Excellent verbal and written communication and presentation skills
**To perform this position will require sitting and typing on keyboard with fingers, and occasionally standing and walking. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**
About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider.
For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.
Salary Range USD $165,000.00 - $190,000.00 / Year
#J-18808-Ljbffr
Overview Key responsibilities include but are not limited to the management of the Payer Contract Administration and Payer Implementation functions as well as PBM contracting and Managed Care contracting. This is a highly visible position and will work closely with Directors of Managed Care, RCM, Sales Executive and Field Management to provide research and solutions on payer related issues.
Schedule:
Monday - Friday, 8:30am-5pm - Remote
We Offer
Medical, Dental & Vision Benefits plus HSA & FSA Savings Accounts
Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance
401(k) Retirement Plan with Employer Match
Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
Employee Discounts
Tuition Reimbursement
Paid Time Off & Holidays
Responsibilities
Responsible for acquisition due diligence and integration related to government and commercial payers for all lines of business
Responsible for the pursuit of business growth related to payer contracting delivering substantial and profitable growth for the company, including opportunistically working with the field sales teams to support current and expansion markets
Acts as payer liaison focused on addressing Home Infusion Therapy (HIT) and PBM payer needs with appropriate resources and prioritization of value-added services and products
Oversees HIT managed care sales process, including negotiating terms with payers. Negotiations include discussion on payment rate and structure, and all aspects of contract language
Provides insight and knowledge in order to facilitate net revenue budgeting, long term planning, and the strategic planning for the organization
Participates in events that are important to the business, including trade shows and educational events to promote services, visibility and relevance with targeted payers
Manages highly complex market dynamics, including HIT and PBM payer issues, state and government regulations, payment issues, etc.
Consistently executes on business priorities and aligns team to the organizational goals
Manages payer contracting oversight responsibilities for any contracting cycle (new and amended), and credentialing
Qualifications
Bachelor’s degree in related field, Master’s preferred
Minimum of five (5) years of healthcare related experience, preferably with contracting and credentialing responsibilities (managed care, government, PBM); home infusion and medical clinic experience preferred
Excellent time management, prioritization and organizational skills
Experience in Outlook, Word, and PowerPoint desired
Strong organizational and interpersonal skills as well as ability to build lasting client relationships
Well-developed planning, marketing, organizational development, and business skills
General business and financial acumen; understanding of managed care terminology, contracting environment, procedures and workflows
Self-motivated and results oriented
Proficiency in Microsoft Office applications, including Excel, Word and PowerPoint
Proficiency in SalesForce.com or other CRM applications
Excellent verbal and written communication and presentation skills
**To perform this position will require sitting and typing on keyboard with fingers, and occasionally standing and walking. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**
About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider.
For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.
Salary Range USD $165,000.00 - $190,000.00 / Year
#J-18808-Ljbffr