Contracting and Payer Relations Executive Director Location: Dover, DE Duration: Fulltime Shift Information: Days Description: Client is looking for a Contracting & Payer Relations Executive Director who is engaged in their profession, committed to providing the best service and believe in the mission of Client . We are looking for staff with Compassion, Accountability, Respect, Integrity, Teamwork. Whether you are seeking work/life balance or the excitement of never knowing what is coming in the door next, we can help connect you to your future. General Summary: Reporting to the CFO, the Executive Director of Contracting & Payer Relations is responsible for all aspects of managed care, governmental, value-based and population health/clinical integration for Client Group. The position is charged with developing and improving relationships with third-party payers. As a key member of the Revenue Cycle team, the senior director ensures reimbursement rates are as robust as possible and that third-party payers are abiding by the contract terms. The Executive Director works collaboratively with the other Revenue Cycle leaders and key stakeholders to make certain that everyone is aware of, and strives to correct, issues or disagreements arising with payers. Responsibilities: Negotiates agreements with third-party payers to achieve operating terms and reimbursement rates that will support Client’s strategic goals. Generates reports that describe the successes and opportunities in the revenue cycle. Meets with leadership of Delaware based plans to discuss strategic plans and opportunities for improvement and collaboration. Recommends managed care contracting strategy to CFO. Serves as the primary source of communication and liaison with third-party payers. Fosters effective collaboration between departments to ensure a consistent and integrated approach in daily operations to managed care requirements. Collaborates with Denials Department to create effective appeals. Conducts regularly scheduled meetings with third-party payers to improve payment processes and follow-up on claims due and other outstanding issues. Represents Client in state-wide meetings and participates with regional associations. Accountable for the overall success of Client’s managed care strategy. Maintains the EPIC contract management system. Ensures that annual payment adjustments are accurate and complete. Creates Price Transparency machine-readable files each year. Serves on utilization review, level of care, and readmission committees. Negotiates single-case agreements as required. Provides input on charge master development and adjustments. All other duties as assigned, within the scope and range of job responsibilities. Required Education, Credential(s) and Experience: Education: Master Degree Business Administration Experience: Required: Minimum 10 years of contract negotiation with Managed Care Organizations Preferred Education, Credential(s) and Experience: Education: Master Degree Health Administration or Related field Credential(s): Certification related to the position, if applicable. Specialty: Management Sub Specialty(s): All Management, Director of Business Office Minimum Years of Experience : 10 As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.