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Payer Contracting Director

Samaritan Health Services

  • Corvallis, OR
  • 15 days ago

    Highlights

    This is an exciting opportunity for a healthcare contracting professional who enjoys negotiating complex agreements, analyzing financial performance, and collaborating across clinical and operational teams to develop innovative payment solutions. We also work closely with the Quality, Population Health and Clinical teams exploring and negotiating new payment methodologies, and developing, implementing, and managing value based payment strategies.

    Numbers & Facts

    LocationCorvallis, OR

    Description

    • At Samaritan Health Services, we're looking for a strategic and relationship-driven Payer Contracting Director to lead payer contracting initiatives that directly support our mission of improving the health of our communities. This is an exciting opportunity for a healthcare contracting professional who enjoys negotiating complex agreements, analyzing financial performance, and collaborating across clinical and operational teams to develop innovative payment solutions.
    • In this highly visible role, you'll serve as a key liaison between Samaritan and health plans, helping to optimize contract performance while advancing value-based care strategies across our health system.

    • This position will require an onsite presence in Corvallis, OR for meetings when needed.

    • DEPARTMENT DESCRIPTION
      • The Contract Management teams at Samaritan Health Services are committed to building relationships with payors as well as involved in contract review, negotiation and performance. The teams work closely with all departments within the Health System relative to contract compliance and managed care issues. We also work closely with the Quality, Population Health and Clinical teams exploring and negotiating new payment methodologies, and developing, implementing, and managing value based payment strategies. We also build and maintain the payor contracts in the computer system.
    • EXPERIENCE/EDUCATION/QUALIFICATIONS
      • Bachelor's degree in business administration or a healthcare related field required. Master's degree preferred.
      • Four (4) years experience in a position of similar responsibility and complexity required.
      • Experience or training in managed care systems and contract terminology preferred.
    • KNOWLEDGE/SKILLS/ABILITIES
      • Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
      • Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
      • Critical thinking – Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
      • Communication and team building – Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects.
    • PHYSICAL DEMANDS
      • Rarely
        (1 - 10% of the time)

        Occasionally
        (11 - 33% of the time)

        Frequently
        (34 - 66% of the time)

        Continually
        (67 – 100% of the time)

        SIT

        CLIMB - STAIRS

        LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs

        LIFT (Knee to chest: 24"-54") 0 - 20 Lbs

        LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

        CARRY 1-handed, 0 - 20 pounds

        CARRY 2-handed, 0 - 20 pounds

        BEND FORWARD at waist

        KNEEL (on knees)

        STAND

        WALK - LEVEL SURFACE

        ROTATE TRUNK Standing

        REACH - Upward

        PUSH (0-20 pounds force)

        PULL (0-20 pounds force)

        ROTATE TRUNK Sitting

        REACH - Forward

        MANUAL DEXTERITY Hands/wrists

        FINGER DEXTERITY

        PINCH Fingers

        GRASP Hand/Fist

        None specified

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