- Addison, Texas, United States
- On-site
- Full-time · Manager
- 10+ years
Lead payer strategy, negotiations, and escalations for an anesthesia practice, managing contracts, relationships, and analytics.
Compensation
We offer competitive compensation, comprehensive benefits, and genuine opportunities for growth and development.
Responsibilities
- Own payer-by-payer network strategy
- Establish and maintain methodology for evaluating in-network vs out-of-network status
- Present payer-level recommendations to executive leadership
- Re-evaluate payer positions on a defined cadence
- Lead payer contract negotiations from outreach through execution
Requirements
- Bachelor's degree in Healthcare Administration, Finance, Business, or a related field
- Master's degree (MBA, MHA, or similar)
- Nice to have: Experience in an out-of-network or IDR-heavy reimbursement environment
- Nice to have: Payer contracting for multi-site physician groups
- Nice to have: Claims and remittance data (837/835, CARC/RARC)