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Job Summary
- Company
- Meriter Health Services, Inc.
- Location
- Madison, WI
- Industries
- All
- Job Type
- Full Time
- Employee
- Years of Experience
- 5+ to 7 Years
- Education Level
- Bachelor's Degree
- Career Level
- Manager (Manager/Supervisor of Staff)
Senior Manager: Payer Contracting and Analysis
About the Job
Reporting the CFO, the Senior Manager of Payer Contracting and Analysis oversees all aspects of the management of the reimbursement contracting functions of Meriter Health Services, including contracting with HMOs, PS, self-funded employer programs and various other third party payers. The position also has a significant role in analysis and is responsible for analysis of programs and profitability, cost accounting, decision support, reporting, and healthcare reform/care redesign financial support.
Key activities include, but are not limited to:
~Aligning reimbursement contracts with Meriter strategies and goals.
~Utilizing managed care contract knowledge, analytical abilities, and healthcare data expertise to lead teams which are working on healthcare reform pilots and other projects.
~Preparing for and leading contract negotiations and interfacing with payers, working collaboratively to develop products and services which meet the needs of our payers and communities.
~Overseeing the development of business plans, program analyses, and partnerships with business development to analyze new opportunities.
~Using reporting systems to put needed information in the hands of key users and management to gain insight and influence decisions.
The ideal candidate will possess:
~Bachelors Degree in Accounting or Finance
~CPA Designation or Masters Degree
~5 years of supervisory experience
~5 years of healthcare experience
~5 years of financial management experience OR managed care experience
~Previous experience collecting, interpreting, and utilizing analytic data
Preferred qualifications include:
~Masters Degree in Finance, Healthcare Management, or Business Administration
~3 years public accounting experience
~3 years healthcare regulatory experience
~3 years insurance industry experience
~3 years experience in analysis of healthcare data and claims
About Meriter Health Services:
Named one of the nation’s 100 Top Hospitals by Thompson Reuters in 2010, Meriter Health Services is an innovative, comprehensive organization whose vision is to provide the best total healthcare experience to everyone we serve. Meriter's mission is to heal this day, to teach for tomorrow, to embrace excellence always, to serve our communities-for a lifetime of quality health care.
Key activities include, but are not limited to:
~Aligning reimbursement contracts with Meriter strategies and goals.
~Utilizing managed care contract knowledge, analytical abilities, and healthcare data expertise to lead teams which are working on healthcare reform pilots and other projects.
~Preparing for and leading contract negotiations and interfacing with payers, working collaboratively to develop products and services which meet the needs of our payers and communities.
~Overseeing the development of business plans, program analyses, and partnerships with business development to analyze new opportunities.
~Using reporting systems to put needed information in the hands of key users and management to gain insight and influence decisions.
The ideal candidate will possess:
~Bachelors Degree in Accounting or Finance
~CPA Designation or Masters Degree
~5 years of supervisory experience
~5 years of healthcare experience
~5 years of financial management experience OR managed care experience
~Previous experience collecting, interpreting, and utilizing analytic data
Preferred qualifications include:
~Masters Degree in Finance, Healthcare Management, or Business Administration
~3 years public accounting experience
~3 years healthcare regulatory experience
~3 years insurance industry experience
~3 years experience in analysis of healthcare data and claims
About Meriter Health Services:
Named one of the nation’s 100 Top Hospitals by Thompson Reuters in 2010, Meriter Health Services is an innovative, comprehensive organization whose vision is to provide the best total healthcare experience to everyone we serve. Meriter's mission is to heal this day, to teach for tomorrow, to embrace excellence always, to serve our communities-for a lifetime of quality health care.
*This position is eligible for Meriter’s benefits package, including health, dental, and vision insurance.*
Meriter is an Affirmative Action/Equal Opportunity Employer, Drug Free Work Place.
Pre-Employment Drug Testing Required.
Contact Information:
Please visit our website at http://www.meriter.com/careers or call (608) 417-6291 for additional information.
