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Director, Payor Relations
Market company product and service to regional Payor Organizations with in the predetermined geographic service area. It will be the direct responsibility of the Regional Director Payor Relations to maintain and expand the contractual and service relationships will all Payor Organizations within the designated territory.
Essential Functions
- Develop, write and maintain quarterly strategic and tactical plan
- Coordinate Payor strategies to ensure they fit with and support and compliment Area Sales Director sales efforts and operations of Regional Service Center.
- Demonstrate ability to explore and target multiple Payor types, including HMO’s PPO’s self-insured employers, unions, etc.
- Support CardioNet efforts to conduct clinical and economic trials as well as case studies and communicate those findings and our value effectively to payors and gain contracts at desired reimbursements and payment.
Relationships and Communications
- Develop and continuously perfect presentations and material for payors meetings that accurately reflects the demands of the regional territory.
- Establish and maintain strong relationships with all levels of Payor staff that impact our business. This will include clinical, non clinical, contracting and payment.
- Coordinate with GM and Billing/Collection Representative to follow up with Payor accounts on payment issues and how to prevent them.
Payor Contracts
- Present proposals with supporting data to establish a contracting to support company pricing structure.
- Negotiate pricing and terms and present outcome to Vice President Payor Relations for feedback and subsequent approval.
- Review contract language and other pertinent documents with utmost detail and communicate findings back to Vice President Payor Relations.
- Document and maintain files in company format on all Payor accounts.
- Track renewal of all contracts in service area.
- Demonstrate a creative approach to strengthen our contractual relationships into more of a partnership/exclusive type of contracts.
Return to currently available positions.
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