The Director of National Reimbursement is accountable for all aspects of facility, non-facility and ancillary recruitment and contracting. They are responsible for negotiating facility, complex non-facility and ancillary provider contracts.  This position requires in-depth knowledge of the managed care business, regulatory /legal requirements, products, programs, strategies and objectives

KEY SKILLS REQUIRED:

·               Analytical - Financial Modeling Experience

·               Communication (written and verbal) and Negotiation

·               Quantification and Identification of Emerging Trends

·               Ability to identify high profile provider issues and present solutions    to Management.

·               Detail and results oriented

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  Leadership

Duties and Responsibilities

·               Build relationships with providers and key contacts to support on-going negotiation efforts.

·               Negotiation of provider contracts.

·               Negotiate ad/hoc single case contracts as needed.

·               Provide support to Management, accounting, finance and data management functions.

·               Conduct analyses of medical cost drivers and develop initiatives for best practices.

·               Stays abreast of emerging trends in healthcare and recommends to Management strategies to improve the competitive position of the organization.

·               Identifies provider educational opportunities.

·               Serves on planning and policy making committees.

·               Complies with all applicable HIPAA and GAAP rules, standards and regulations.

Education/Experience/Certifications

College degree in nursing, business, legal and healthcare related field is required. Advanced degree is a plus. A minimum of 3-7 years experience is required in contract negotiations, contractual compliance or financial analysis in the healthcare industry.  A Bachelor of Science nursing degree is also a plus!