Payer Strategy Jobs in Boca Raton, FL (NOW HIRING)

We’re unique.  You should be, too.

We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

Reporting to the Vice President, Strategic Payer Partnerships, the Director, Strategic Payer Partnerships (SPP) will assist in the payor relationship and contracting functions for ChenMed. In this capacity, the incumbent will partner with the Vice President, Strategic Payer Partnerships in helping our CFO and COO with primary responsibility for influencing and organizing executive and local market leadership in the strategic improvement of payor terms, contracts and margin. Primary functions will include payor contract audit, payor financial performance assessment, payor bid process alignment and support of the ChenMed/Payor Joint Operating Committee meetings.ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

• Performs ongoing analysis of current and future payor contract terms and financial performance with the goal of identifying opportunities to improve financial performance via contractual improvements, negotiating new contracts, benefit design improvement and/or other margin performance opportunities (i.e.  improved contractual/financial terms and less variability across payors). 
• Provides actionable data for the CFO and COO on payor assessment insights, prioritizes opportunities to drive improvements and orchestrates actions across the organization to execute opportunities including key decision criteria, expected outcomes/returns and any related risks.
• Builds strong cross-functional relationships and works collaboratively with key internal and external (payor) stakeholders to drive successful execution of payor performance improvement initiatives.
• Owns payor contracting functions, including update/implementation of: (a) contract approval process for all payors (new and existing) in all markets (new and existing), (b) contract PADU and related approval process; and (c) contract committee role/responsibilities.
• Participates in Joint Operating Committee (JOC) meeting organization and management for all payors, coordinating and aligning with internal and external stakeholders as necessary to drive against performance improvement opportunities related to: (a) growth, (b) financial outcomes; and (c) operational outcomes.
• Collaborates with stakeholders to align and integrate expected outcomes into business plans across the organization.
• Ensures project management for implementation of payor improvement initiatives.
• Performs other duties as required or assigned by manager.

KNOWLEDGE, SKILLS AND ABILITIES:

• Broad functional experience in the fundamentals of financial analysis, strategic planning, research and/or value proposition creation
• Demonstrated ability to build relationships and influence stakeholders at all levels in complex, matrixed organizations
• Demonstrated ability to lead effectively and drive results in complex, matrixed operating environment
• Excellent strategy, planning and execution skills with proven ability to drive results
• Commercial and business acumen; an ability to recognize opportunities and capitalize on them
• Ability to understand, analyze and assimilate complex issues, draw correct conclusions and formulate clear strategy and policies
• Effective written and verbal communicator with a demonstrated ability to present to audiences with a straight-forward style of communication
• Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software
• Able to travel locally, regionally and nationally up to 50% of the time
• Spoken and written fluency in English
• This position requires use of independent judgment

EDUCATION AND EXPERIENCE CRITERIA:

• MBA or equivalent graduate degree in a financial discipline with seven (7) plus years of related work experience OR a bachelor’s degree in Business or a financial discipline with twelve (12) plus years of consulting or related work experience required
• Progressive career growth and experience in business and/or strategy development leadership roles required

PAY RANGE:

$181,651 - $259,502 Salary

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better.  Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. 

ChenMed is changing lives for the people we serve and the people we hire.  With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow.  Join our team who make a difference in people’s lives every single day.

Current employees, if you want to apply to our internal career site, please click HERE

Current Contingent Worker please see job aid HERE to apply

#LI-Onsite