Director - Payer Relations
PAYER RELATIONS (Billings Clinic Main Campus)
req12181
Shift: Day
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt)
Starting Wage DOE
Responsible to contribute to the growth and profitability of Billings Clinic by professionally managing services and activities for service line and for strategic planning and administration of Billings Clinic. Responsible for corporate administration of external relations with payers, joint ventures, vendors, providers, and others. Responsibilities also include program direction, development and marketing for the Senior Life Partners, Lifeline and Elder Care Solutions service lines to enhance quality of service offerings and explores/develops opportunities for cooperative ventures with external senior service providers. Researches health-related products/services that enhance senior services offered by Billings Clinic.
Essential Job Functions
* Develops, implements and assists in the advancement of the mission, vision, and values of Billings Clinic establishing a vision of excellence with a customer service orientation and demonstrated quality outcomes.
* Participates in establishing philosophy and culture of Billings Clinic. Leads groups through strategic planning sessions and motivates team to execute strategic objectives.
* Responsibilities include the promotion of, adherence to, the elements of Billings Clinic Code of Business Conduct and the corporate compliance program.
* Ensures the success and credibility of Billings Clinic through the delivery of innovative, quality, cost efficient programs. Leads the administration and ongoing refinement of comprehensive programs, including well defined protocols, policies and procedures assuring high quality standards and the cost effective delivery of the appropriate level of care in the appropriate care delivery setting. Assures the highest standard of clinical outcomes, patient satisfaction, and responsive/accessible customer service. Provides consultation services for community and health care providers.
* Leads service lines in marketing, program development, and service priorities. Coordinates with physicians and other Billings Clinic leadership to assure continuity in pursing system goals and synergy in implementing plans. Identifies and addresses synergies/problems across service lines, providers, and within the community. Communicates relevant developments to staff.
* Develops/maintains financial and budgetary goals/objectives and oversees/assists with the development of departmental business plans which support Billings Clinic goals and objectives. Communicates and coordinates corporate and administrative information for use by Billings Clinic leadership and governing bodies, including feasibilities, projections, and results reporting.
* Practices process improvement principles and oversees assessment and improvement of the quality of the service and patient care provided. Maintains competency in all organizational, departmental and outside agency safety standards relevant to services provided and ensures compliance.
* Develops, retains, recruits, and leads a talented management team committed to accomplishing the goals and objectives of Billings Clinic. Conducts appropriate performance actions to include motivation, training, coaching, and counseling of employees. Acts as a mentor, promotes and encourages professional growth and development of all staff. Takes responsibility for own professional growth and development needs; meets all system educational requirements.
* Establishes culture and standards; participates, fosters, de