Description
Director Contracting and Payor Relations
Pittsfield, MA
Monday-Friday 8am-4:30pm
Email Rachel Boilard: [email protected] or apply here
About Us:
With its scenic natural beauty, the Berkshires serves as a source of inspiration for many and fosters a unique and vibrant community. Generations of families have come to the Berkshires for a weekend, a week, or a lifetime. Some seek rest and renewal while others seek quality of life and meaning. As the largest employer in Berkshire County, Berkshire Health Systems plays a vital role in the lives of both visitors and residents alike.
Want to learn more about the Berkshires? Check out all that this area has to offer here
At Berkshire Health Systems, we know that overall wellness is the result of healthy families, healthy environments, and healthy communities, not just excellent medical care. Therefore, we support our patients beyond the hospital, clinic, or medical office. We recognize that each of our patients has unique needs and challenges. We strive to make each experience with BHS one that is welcoming, personalized, and convenient for the patient. We make connections and promote community services that give patients the tools to live healthier lives.
DEFINITION/PRIMARY FUNCTIONS
Responsible for developing and leading managed care initiatives designed to improve the contractual financial performance of the Health System. Oversees the implementation of contractual terms. Spearheads the development and ongoing monitoring of remedial action plans and oversees communication of health plan policies and procedures to BHS internal and external community.
POSITION QUALIFICATIONS (Minimum qualifications are required unless stated otherwise.)
Experience:
- 5+ years contract negotiation experience in a managed health care environment with a thorough knowledge of the health care market and the needs/concerns of an integrated health care system.
Education and Training:
- Bachelor's Degree in Accounting, Finance or Business Administration required.
- Master's Degree preferred.
Other Requirements:
- Proven competence in contract negotiation with large managed care plans.
- Requires a high level of initiative, sound judgment, and the ability to work independently meeting goals and objectives on time, balancing multiple priorities and utilizing resources appropriately.
- Requires the ability to work with health plans to analyze complex data, identify opportunities for improvement and facilitate resolutions which will have a positive effect on the Health System.
- Requires the ability to understand and interpret all aspects of a contract: financial, legal, and operational.
- Requires the ability to understand the nuances of a health plan's numerous product lines, and the unique operational and financial features associated with each of these products.
- Excellent leadership, communication and organizational skills.
- Must be an accomplished multi-disciplinary team-builder with hands-on style.
- Must be able to exercise appropriate judgment as necessary and raise issues to the appropriate level.
- Requires strong verbal and written communications skills to effectively communicate both detail and at a summary level to all levels of management.
- Ability to present technical information in a way that establishes rapport, persuades others, and gains understanding.
- Ability to coach/mentor others in the organization on methodologies and tools.
- Excellent team and relationship building skills are essential.
- Requires the ability to independently analyze and resolve complex financial and contractual issues.
- Requires the ability to coordinate efforts amongst various departments at the Health System.
Benefits
Berkshire Health Systems offers one of the most comprehensive Benefit Plans you can find! This includes but is not limited to: Medical, Dental, Vision, 403b Pension Plan and much more
Berkshire Health Systems supports diversity in our workforce.
Here is the link to apply: Director Contracting and Payor Relations - Berkshire Health Systems
Or visit www.berkshirehealthsystems.org and click on Employment to see all of our openings!
