Director Payor Relations and Contracting

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Strategic Services
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21019782 Requisition #
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605 Total Views
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Education
Bachelor's Degree Business Administration, Health Care Administration, or related field required
Master's Degree preferred

Experience
8 years experience in contracting and business solutions in health care environment, to include significant managed care contracting experience required

Skills
Excellent negotiating skills.
Excellent analytical skills.
Excellent oral and written communication skills.
Working knowledge of personal computer applications, including word processing, spreadsheet applications, graphics, publisher, and database software.
Familiarity with DRG, HCPCS, CPT, and ICD-9 coding.
Ability to manage multiple priorities and deadlines.


Southwestern Health Resources (SWHR) is a patient-centered clinically integrated network of 29 hospital locations and more than 5,500 physicians and other clinicians. Formed by Texas Health and UT Southwestern, two of the region’s leading healthcare systems, SWHR delivers nationally preeminent, highest-quality care in 16 counties across North Texas. SWHR is also the parent organization of Care N’ Care Insurance Co., a regional Medicare Advantage Plan serving more than 13,500 members in the region.

The SWHR network includes physicians from UT Southwestern and Texas Health, and independent community primary care and specialty physicians. In partnership, our team implements physician-driven, value-based care strategies to coordinate care for more than 700,000 patients, resulting in lower costs and high-quality care.  In 2020, the Centers for Medicare & Medicaid Services released the annual financial and quality results and, based on the report, SWHR is one of the nation’s leading Next Generation Accountable Care Organizations, having saved nearly $120 million since joining the program in 2017. 

At the heart of SWHR are people who help people. We care about those we serve and each other.  To be the national leader in providing population-based healthcare, our more than 850 employees use their knowledge, data insights and clinical experience to deliver care to the right patient, at the right time and in the right setting. By connecting physicians to patients and clinical insights to better outcomes, SWHR lowers costs, optimizes value, and builds a better healthcare system for all.

We invite you to learn more about us at www.southwesternhealth.org.

Let’s move healthcare forward – together.


 

 



Experience
8 Years Experience in contracting and business solutions in health care environment, to include significant managed care contracting experience. Req

Skills
Excellent negotiating skills.
Excellent analytical skills.
Excellent oral and written communication skills.
Working knowledge of personal computer applications, including word processing, spreadsheet applications, graphics, publisher, and database software.
Familiarity with DRG, HCPCS, CPT, and ICD-9 coding.
Ability to manage multiple priorities and deadlines.

Supervision
Individual Contributor

ADA Requirements
Working Indoors 67% or more

Physical Demands
Sedentary

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