Regional Director - Value Based Medicine (Payer Relations)



City
Rochester
State
Minnesota
Telecommute
Yes
Department
Mayo Clinic Laboratories
Why Mayo Clinic
Innovation and compassion are paramount to providing world-class medical care to patients from all over the world. We lean on the variety of perspectives and backgrounds of our colleagues’ to continuously challenge ourselves and to create a workplace that supports diversity, equity, and inclusion. Become part of the legacy that embraces our differences and enables us to provide the best care to patients from all over the world.
Position description
Responsible for creating new and advancing existing strategic relationships with payers and employers that enables access to lab testing via Mayo Clinic Laboratories (MCL). Responsible for prospecting and solicitation or development of payer or specialty contracts for assigned payers or employer organizations. Serves as a key member of the Value Based Medicine (VBM) Payer Contracting team with a primary focus on developing, nurturing and advancing relationships. Responsible for coordinating with other MCL 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 VBM leadership. Maintains relationships with external payers and employers, corresponds routinely and explores opportunities to enhance 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 MCL services. Educates MCL leadership regarding contracts and the payer/employer market. Performs as institutional resource on health care payer market issues.

Regional travel will be required barring COVID.
Qualifications
**This incumbent will work out of their home office. Regional travel will be required barring COVID. Seeking candidates to cover the Western region and Eastern region of the U.S.**

A Master's degree in business, healthcare or other related field required and 10 years of payer market management experience with progressive responsibilities. In lieu of a Master's degree, a Juris Doctor degree will be accepted, or a Bachelor's degree in business, finance or a related field plus twelve years' of payer market 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, laboratory science 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.
Additional qualifications
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.

License or certification
Drivers license is required.
Exemption status
Exempt
Compensation Detail
Education, experience and tenure may be considered along with internal equity when job offers are extended.  The minimum salary every 2 weeks is approx $4,872, based on a full-time position.
Benefits eligible
Yes
Schedule
Full Time
Hours / Pay period
80
Site description
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.
Category
Administration, Business, Finance, Clinical Labs and Research
Career profile
Clinical Labs
Job posting number
141370BR
Recruiter
Tara Hanson
Equal opportunity employer
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.