Director of Network and Payer Alignment (Remote) -3535 Market Street

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Current UPHS-paid Employees must CLICK HERE to apply on the Internal job board

Director of Network and Payer Alignment (Remote) -3535 Market Street

Job ID: 330101

Category: Accounting/Finance

Work Type: FT

Location: Philadelphia, PA, United States

Work Schedule: Shift 1

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Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Summary:

(Remote)

• expectations for in-person meetings on an as-need basis*
• The Director of Network and Payer Alignment is the Managed Care and Payor Relations (MCPR) leader responsible for system-wide coordination of Penn Medicine provider networks in our value-based or Clinically Integrated Networks (CIN) or unique payer network arrangements. This includes responsibility for the maintenance and integrity of these networks and the MCPR strategic leadership associated with the system-wide deployment of Epic Payer Platform, Epic Community Connect and other integration tools designed to optimize performance of these networks.

The role includes the supervision and management of Value and Physician contracting staff at Lancaster General working closely with the Regional Managed Care Director. The role also includes oversight of the day-to-day financial operations of the CIN associated with Lancaster General Health.

Responsibilities:

Credentials:

Education or Equivalent Experience:

• Bachelor of Arts or Science (Required)
• And 10+ years of demonstrated Managed Care managerial experience with 4+ years' experience in Provider Value Based Healthcare Contracting required.
• Master of Arts or Science
• Or 8 +years of demonstrated Managed Care Contracting managerial experience with 5+ years' experience in provider, network, and payer Value Based Healthcare Contracting preferred.

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

Current UPHS-paid Employees must CLICK HERE to apply on the Internal job board

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