Payer Contracting Specialist
Vein Clinics of America, Inc.


Job Info




JOB RESPONSIBILITIES


  • 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
  • Proficient with working in databases



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