Director - Contract/Pay RelationsJob ID 151967BR Date posted 08/25/2021
- Rochester, Minnesota
- Full Time
Mayo Clinic is the nation's best hospital (U.S. News & World Report, 2020-2021) and ranked #1 in more specialties than any other care provider. We have a vast array of opportunities ranging from Nursing, Clinical, to Finance, IT, Administrative, Research and Support Services to name a few. Across all locations, you’ll find career opportunities that support diversity, equity and inclusion. At Mayo Clinic, we invest in you with opportunities for growth and development and our benefits and compensation package are highly competitive. We invite you to be a part of our team where you’ll discover a culture of teamwork, professionalism, mutual respect, and most importantly, a life-changing career!
Responsible for creating new and advancing existing strategic relationships with payers and employers that enables access to care at Mayo. Responsible for negotiating payer or specialty contracts for assigned payers or employers organizations with net medical spend of $150,000,000 or less. Serves as a key member of the CPR team with a primary focus on developing, nurturing and advancing relationships. Drafts written contract language for contracts. Responsible for coordinating with other Mayo internal administrative areas to ensure efficient implementation and ongoing maintenance of assigned contracts. Oversees interactions with external payers and employers for resolution of issues. In addition, has direct responsibility for development and execution of strategic initiatives that advance market and practice yield as approved by CPR leadership. Maintains relationship with external payers and employers; corresponds routinely, and explores opportunities to enhance the relationships. Establishes and maintains relationships with the practice and administrative leadership. Participates in developing overall department market and contract strategy for payers or employers. Participates and provides input in the development of enterprise level, regional level, and site specific strategies to maintain and grow market share, yield, and access to Mayo services. Educates Mayo leadership regarding contracts and the payer/employer market. Institutional resource on health care payer market issues.
Master's degree in business, healthcare or other related field required and 10 years of finance management experience with a progressive organization. In lieu of a Master’s degree, a Bachelor's degree in business, finance or a related field plus twelve years’ of finance management experience with progressive responsibilities. Must have legal contract structure, content and health insurance marketplace experience. Requires a broad experience and proven knowledge of corporate benefit options, insurance industry standards, payer payment methodologies, managed care concepts, health care finance fundamentals, medical terminology, third party billing, payment and collection principles. Must have superior skills in leadership, relationship management, verbal and written communications, organization, decision making and the ability to work collaboratively with multiple disciplines internal and external to the organization. Need strong skills in managing multiple tasks concurrently. Positive attitude and strong persuasive skills needed. Direct reports will include other department personnel.
NOTE: Must have completed application and current resume in order to be considered.
Prefer experience with implementing major organizational change, including significant contract or operational redesign and other operational efficiency improvements as payer dynamics have changed. Promotes teamwork and seeks to maximize the potential of all employees. Needs or requires little direction. Is fully capable of independent thought and direction. Able to work, function, and succeed in a consensus driven, collaborative culture and work environment. Must be an individual of high energy, positive attitude, and a proven track record of getting results. Experience with or sensitivity to the uniqueness of a combined research, education and patient care setting desirable. Travel is required.
Education, experience and tenure may be considered along with internal equity when job offers are extended. The minimum salary every 2 weeks is approx $5060.00, based on a full-time position.
Hours / Pay period
NOTE: Currently, this vacancy is open to telework/telecommute. Candidates are expected to reside within a reasonable travel distance to the Rochester, MN campus in order to work onsite for business needs, client and project meetings, etc.
Mayo Clinic is located in the heart of downtown Rochester, Minnesota, a vibrant, friendly city that provides a highly livable environment for more than 34,000 Mayo staff and students. The city is consistently ranked among the best places to live in the United States because of its affordable cost of living, healthy lifestyle, excellent school systems and exceptionally high quality of life.
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
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