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Vice President Payer Relations Jobs in Decatur, GA

The Position Human Resources Vice President Job Summary Imerys is the world's leading supplier of ... Drive the regional labor relations strategy, proactively negotiating and administering multiple ...

The Position Human Resources Vice President Job Summary Imerys is the world's leading supplier of ... Drive the regional labor relations strategy, proactively negotiating and administering multiple ...

VP, Product Enlace Health delivers an end-to-end solution that solves one of the most vexing ... Connecting payers, providers, and patients, Enlace empowers any type of specialty healthcare ...

VP, Product Enlace Health delivers an end-to-end solution that solves one of the most vexing ... Connecting payers, providers, and patients, Enlace empowers any type of specialty healthcare ...

WAY) Finance team, the VP, Finance leads multiple teams of financial analysts and managers ... 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our ...

VP of Marketing Reporting to: Chief Operations Officer Role type: Full-time, Exempt Location: Based ... Balance investment in proven channels (social, PR, partnerships) with new strategies (paid media ...

VP of Marketing Reporting to: Chief Operations Officer Role type: Full-time, Exempt Location: Based ... Balance investment in proven channels (social, PR, partnerships) with new strategies (paid media ...

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Vice President Payer Relations information

What does a vice president payer relations do?

A Vice President of Payer Relations is responsible for developing and managing relationships with health insurance companies and other payers to negotiate contracts, ensure favorable reimbursement rates, and resolve issues related to claims or coverage. They lead a team that works closely with both external payers and internal departments such as finance, billing, and compliance. Their work is crucial in optimizing revenue cycles, maintaining profitability, and ensuring patients have access to covered services. This role requires a deep understanding of healthcare regulations, payer policies, and the overall healthcare reimbursement landscape.

What are the key skills and qualifications needed to thrive as a vice president payer relations?

To excel as a Vice President of Payer Relations, you need deep knowledge of healthcare reimbursement, contract negotiation, and regulatory compliance, typically backed by an advanced degree in healthcare administration, business, or a related field. Familiarity with contract management systems, healthcare analytics platforms, and payer-provider data exchange technologies is crucial. Outstanding leadership, relationship-building, and strategic communication skills distinguish top performers in this role. These competencies are vital for securing favorable payer agreements, ensuring organizational profitability, and maintaining strong industry partnerships.

How does a vice president payer relations typically collaborate with internal teams to optimize contract negotiations with insurance providers?

A Vice President of Payer Relations works closely with finance, legal, clinical, and business development teams to ensure that contract negotiations with insurance providers align with the organization's strategic and financial goals. This involves regular cross-departmental meetings to review data, discuss reimbursement strategies, and assess the impact of proposed terms on service delivery. By fostering open communication and leveraging the expertise of various departments, the VP ensures contracts are both competitive and compliant, ultimately supporting the organization's growth and operational efficiency.

What is the difference between Vice President Payer Relations vs Director Payer Relations?

AspectVice President Payer RelationsDirector Payer Relations
ResponsibilitiesStrategic leadership, high-level negotiations, policy developmentOversees payer account management, contract negotiations, team supervision
Required CredentialsBachelor's degree, extensive experience, leadership skillsBachelor's degree, relevant experience, strong negotiation skills
Work EnvironmentExecutive-level meetings, strategic planning sessionsTeam management, client meetings, operational oversight

The Vice President Payer Relations focuses on strategic leadership and high-level negotiations with payers, while the Director Payer Relations manages day-to-day payer accounts and supervises teams. Both roles require relevant experience and strong negotiation skills, but the VP role involves broader strategic responsibilities and leadership within the organization.

What job categories do people searching Vice President Payer Relations jobs in Decatur, GA look for?

The top searched job categories for Vice President Payer Relations jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Vice President Payer Relations jobs?

Cities near Decatur, GA with the most Vice President Payer Relations job openings:

Vice President of Healthcare Development

Ryan Companies

Atlanta, GA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago


Key responsibilities

  • Lead all sales activity and client negotiations for healthcare development projects.

  • Identify, pursue, and develop development, construction, and real estate management projects for the region.

  • Assess potential development sites and prepare site-specific costs, budgets, and pro formas.


Job description

Job Description:

Business development to support Ryan's general commercial real estate product type as well as sector-specific markets. The VP of of Healthcare Development reports to healthcare sector Executive Vice President. Partners with sector team, regional leader, peer development VP's, market sector VP's, operations VP, and corporate marketing function to establish appropriate regional resources and procedures to identify, plan, and successfully secure projects for the region. Leads all sales activity and client negotiations for these projects.

Some things you can expect to do:
  • Jointly develops the annual revenue and profit goals with the sector leader, regional leader and business development team.

  • Identifies and pursues development, construction, and real estate management projects for the region, identifying top priority prospects, both on a geographic and a client group basis.

  • Strategically pursues clients and lead project pursuits, including responses to proposals and RFP's and lead the sales presentations for all major projects.

  • Assists in the development of and supports the marketing and sales strategy for the region, including active management of the public relations, industry involvement, and award applications. Also includes understanding of industry competitors and documenting best competitive practices.

  • Assesses potential development sites, including issues related to environmental contamination, geotechnical issues, topography, constraints analysis, city zoning and ordinances, applicable fees.

  • Develops site-specific costs budget for input into pro forma. Prepares pro formas and pursuit costs forecasts and present for internal deal approval process.

  • Determines submission requirements and schedule for required governmental approvals and permits, attending meetings and making presentations as required (City Councils, Planning Commissions, neighborhood groups, etc.).

  • Is a recognized leader within the external local development/construction community, including active and visible involvement in the appropriate associations.

  • Maintains contact with individuals and firms within the industry that help create opportunities for Ryan.

  • Responsible for on-going customer relations at the executive level, ensuring that design, construction and property management are meeting client expectations.

To be successful in this role you must have:

  • Experience, knowledge, skills, education and abilities - required or preferred - to be successful:

  • Advanced knowledge and proven ability to sell, develop, and manage a variety of commercial/industrial facilities.

  • Proven track record at establishing new relationships (sales and marketing) and maintaining positive customer relationship, effectively balancing sales and relationship-building skills with technical expertise.

  • Existing healthcare system and special groups decision maker relationships and the ability to establish new healthcare relationships that result in development, design and construction opportunities.

  • Proven track record of developing and maintaining a profitable team.

  • Proven financial skills, knowledge of project costs and feasibility, as well as specialty team financial status tracking and executive level reporting.

  • Interpersonal communication skills, including the ability to effectively collaborate in a matrix organization.

  • Cultural Leader - is a cultural leader, both internally and externally, reflecting Ryan's mission and values.

  • Customer focus - proven strong ability to pursue customer input and be flexible in adapting to ongoing customer needs.

  • Professionalism - displays honesty and integrity; effectively plans and organizes; demonstrates passion for excellence.

  • Communication - displays effective persuasion and negotiation skills; proactively keeps all parties informed of project status.

  • Leadership and Teamwork - inspires others to excellence; assists in achieving sales goals; appropriately delegates, monitors and holds others and self-accountable.

  • Bachelor's degree in real estate development, construction management, engineering, real estate management, or related field. Advanced degree preferred but not required.

  • 10+ year's commercial development and construction experience in a design-build or negotiated construction environment with 5+ years in leadership position.

  • Experience in leading business development.


You will really stand out if you have:

  • An MBA or MS in Real Estate or Finance

  • Deep connections and networks in healthcare

  • Existing healthcare system and special groups decision maker relationships and the ability to establish new healthcare relationships that result in development, design and construction opportunities

Value based skills, traits, behaviors and approach that increase candidate success and aligns to Ryan values: excellence, safety, respect, integrity, family, stewardship and fun.

COMMUNICATION

  • Verbal: communicates calmly, concisely and openly

  • Written: conveys thoughts and ideas clearly

  • Proactively informs others of issues

  • Is diplomatic and persuasive, when appropriate

LEADERSHIP AND TEAMWORK

  • Inspires others to achieve EXCELLENCE

  • Endeavors for a healthy work-life balance, supporting our FAMILY value

  • Is committed to creating a FUN and positive work environment

  • Actively participates in STEWARDSHIP in our communities

CUSTOMER FOCUS

  • Actively pursues customer input and feedback

  • Adapts to customer needs

  • Demonstrates a passion for EXCELLENCE, striving for continuous improvement and highest standards

PROFESSIONALISM AND WORK HABITS

  • Displays INTEGRITY, by striving to always do the right thing

  • Deals with job frustrations in appropriate manner

  • In words and actions, treats everyone with RESPECT

  • Effectively plans, prioritizes, and takes ownership of work

  • Contributes to a SAFE and inclusive work environment

Eligibility:

  • Positions require verification of employment eligibility to work in the U.S.

Benefits:

  • Competitive Salary

  • Medical, Dental and Vision Benefits

  • Retirement and Savings Benefits

  • Flexible Spending Accounts

  • Life Insurance

  • Educational Assistance

  • Paid Time Off (PTO)

  • Parenting Benefits

  • Long-term Disability

  • Ryan Foundation - charitable matching funds

  • Paid Time for Volunteer Events

Ryan Companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Non-Solicitation Notice to Recruitment Agencies:

Ryan Companies kindly requests that recruitment agencies and third-party recruiters do not submit unsolicited resumes or candidate information to any Ryan Companies employee or office. Ryan Companies will not be responsible for any fees or expenses associated with unsolicited submissions. If recruitment services are required, we will reach out directly to agencies on our approved vendor list. We appreciate your understanding and cooperation.