Director Payer Relations & Contract presso Temple Health

Reporting to the AVP, Government & Payer Strategy, the Director will oversee the payer contracting and support the payer strategy functions for the Health System. The Director will continuously assess and refine the Health System's payer contracts which will encompass all third party plans including Commercial, Medical Assistance, Medicare Advantage, Workers Compensation, International care via Philadelphia International Medicine, and any other payer arrangement. Additionally the Director will include any CMS or Commonwealth based programs beyond the traditional FFS programs such as those originating in CMMI. The Director is the primary contact with health insurers for the development of new products, promotion of Health System services, contracting issues and pricing. Develops and maintains third party payer agreements with health system member institutions and affiliates to optimize revenue. The Director will coordinate the contracting aspect for the Temple Care Clinically Integrated Network (TempleCare CIN) network management functions and payer contracting.

Education
Master's Degree Required or
Combination of relevant education and experience may be considered in lieu of degree Required

Experience
10+ years experience in a related position including 5 years of performance driven contracts
and ACO/CIN agreements Required
7 years experience in a healthcare provider environment Required
General Experience in managed care contracting Required

Licenses

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Your Tomorrow is Here!

Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals.  Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team.  Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.

 

To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike.  At Temple Health, your tomorrow is here!

Equal Opportunity Employer/Veterans/Disabled

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

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Your Tomorrow is Here!

Temple Health is committed to setting new standards for preventing, diagnosing and treating major diseases in our community and across the nation.  Achieving that goal means investing in our employees' success through staff and leadership development.  Our recruitment strategy is to attract and retain a diverse, high performing workforce that fosters a healthy, safe and productive environment for our patients and colleagues alike.

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