Negotiate new and re-negotiate existing insurance payer contracts, developing and maintaining close working relationships with payer representatives.
Describe VCA’s unique value proposition to prospective payer partners Create analyses and summaries for identified payer contracting gaps and deficiencies. Interface with key VCA stakeholders to align payer contracting needs and business efforts. Educate ing key VCA stakeholders on payer contract policies and procedures Set targets and priorities in order to meet national and market-specific network needs
Research as needed out of network and other payer participation discrepancies
Maintain important VCA payer related databases and files Any other duties reasonably assigned by the Director of Payer Access and Credentialing
Organized and detail-oriented Intermediate user of Microsoft Office (Work, Outlook, Excel, Access, etc.) Excellent customer service skills Enthusiastic and optimistic teammate
Strong written and verbal communication skills Ability to work independently and manage multiple priorities Ability to research and analyze data
Good problem solver
REPORTING RELATIONSHIPS Position reports to VP Payer Contracting & Strategy
EXPERIENCE AND EDUCATION
College degree preferred Minimum of 2 years of experience in managed care contracting, payer/provider relations ideally in office based physician professional services. Credentialing experience/knowledge
Knowledge of managed care reimbursement methods Proficiency in analyzing, understanding and communicating financial trends Overall knowledge of managed care principles
According to the US Bureau of Labor Statistics (BLS), employment in healthcare occupations is projected to grow 15 percent from 2019 to 2029, much faster than the average for all occupations, adding about 2.4 million new jobs. Healthcare occupations are projected to add more jobs than any of the other occupational groups. This projected growth is mainly due to an aging population, leading to greater demand for healthcare services.
Employment of registered nurses is projected to grow 7 percent from 2019 to 2029, faster than the average for all occupations. Growth will occur for a number of reasons, including an increased emphasis on preventive care; increasing rates of chronic conditions, such as diabetes and obesity; and demand for healthcare services from the baby-boom population, as this group leads longer and more active lives.
According to BLS, the median annual wage for healthcare practitioners and technical occupations (such as registered nurses, physicians and surgeons, and dental hygienists) was $69,870 in May 2020, which was higher than the median annual wage for all occupations in the economy of $41,950.
Healthcare support occupations (such as home health aides, occupational therapy assistants, and medical transcriptionists) had a median annual wage of $29,960 in May 2020, lower than the median annual wage for all occupations in the economy.
The median annual wage for registered nurses was $75,330 in May 2020.
Here are some occupations within Medical and Nursing:
Clinical Laboratory Technologists and Technicians
Diagnostic Medical Sonographers and Cardiovascular Technologists and Technicians, Including Vascular Technologists
Dietitians and Nutritionists
Licensed Practical and Licensed Vocational Nurses
Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners