Director Fraud Remote Jobs in Texas (NOW HIRING)

Location: Remote | Must reside near Austin, TX

Department: Payor Contracting and Relation

Schedule: Days | Full-time

Salary: $167,851.85 - $285,348.15 per year

Eligible for an annual bonus incentive

• Oversees payer revenue strategy and contracting for assigned geographic markets or strategic business segments by formulating and implementing contracting strategies in Government Managed Care, Specialty/Horizontals, or Value-Based contracting
• Leads or participates in direct payer negotiation processes and major payer relations discussions to achieve targets while serving as a member of the Market or business segment Leadership team
• Builds deep knowledge of assigned markets or segments including Ascension's delivery footprint and the competitive environment to support and integrate with local business plans and long-term strategies
• Monitors and analyzes payer net revenue financial performance in assigned markets or segments in collaboration with ADSI Analytics, RCM/R1, and the Managed Care Payer Performance team
• Holds accountability to contribute to setting and achieving budget and three-year targets for payer lifts and revenue growth

Education:

• High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management OR Associate's degree/Bachelor's degree with 3 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management.

• Experience formulating and implementing specific contracting strategies in Government Managed Care, Specialty/Horizontals, or Value-Based contracting
• Proven ability to support and integrate market or segment business plans with long-term corporate strategies
• Demonstrated background overseeing the design, development, and implementation of value-based care models and plans

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.

Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.