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Director Of Payer Strategies
Valley Health System
Paramus, NJ
Posted 6/3/2024
Position Summary:
The Director of Payer Strategies is responsible for overseeing and managing all aspects of the payer strategies department within the organization. This includes developing and implementing strategies to optimize managed care contracts, negotiating with payers, and ensuring compliance with regulatory requirements. The Director of Payer Strategies will collaborate with cross-functional teams to drive revenue growth, improve operational efficiency, and enhance the overall financial performance of the organization. Working closely with the Revenue Cycle leadership, the Director of Payer Strategies will be responsible for high-level decision support analyses and financial and contractual modeling, negotiating contract terms with managed care payers, developing managed care agreement financial proposals, management of escalated claims issues, implementation and management of managed care contracts, working with the payors to resolve contract and related operational issues.
Education:
BA / BS education minimum requirement. Master’s Degree Preferred.
Experience:
7 or more years of managed care contracting, and negotiation or related experience required. Revenue cycle experience and financial analysis experience, required. Must have advanced knowledge of healthcare, managed care systems, HMO marketplace and market trends. Comprehensive understanding of varied reimbursement methodologies including Hospital, Physician and Home Care payment methods and risk and shared savings based methodologies. Advanced knowledge of contract related activities including: negotiations, legal, regulatory, operational, finance, and relationship management. system experience preferred.
Special Skills:
- Strong problem-solving skills
- Strong written communications skills
- Advanced Excel spreadsheet skills are required
- Ability to multi-task and manage multiple projects simultaneously is required
- Advanced communication and analytical skills required to develop positive working relationships both internally and externally
Apply:
https://www.valleyhealthcareers.com/job/20133300/director-payer-strategies-ridgewood-nj/
Finance Operations Analyst
CentraState Healthcare System
Freehold, NJ
Posted 5/20/2024
Job Description:
As part of the Finance Operations team, the Finance Operations Analyst prepares financial analyses, assists in the month end financial close, generates financial reports utilizing our decision support tool and supports the annual budget process for the Medical Center
Responsibilities:
- Assists in completion of monthly financial close activities including preparation of monthly statistical reports, variance analyses and other related worksheets. Publishes month end reports for department manager access/review.
- Generates reports in support of monthly A/R Valuation process.
- Prepares and disseminates monthly financial/statistical dashboards.
- Assists in completion of Medicare/SHARE cost reports and other required governmental reimbursement filings.
- Prepares and submits monthly B-2 and quarterly FAST report survey. Compiles data for external survey requests, as directed.
- Shares responsibility for maintenance of budget and decision support software.
- Assists in completion of operating budgets under the supervision of the Finance Operations Manager and as directed by the Corporate Director of Finance Operations.
- Reviews budget submissions for accuracy and follows up with department managers for clarification.
- Prepares budget analyses in support of major expense categories/general ledger accounts for senior management, as directed.
- Utilizing the decision support tool, generates Product Line P & L’s and monthly standard departmental reports. Analyzes and reviews results with manager and Corporate Director of Finance Operations prior to publication/dissemination.
- Prepares other financial analyses, responds to information requests and provides assistance in support of other projects, as needed.
Requirements:
- Bachelor’s degree in Accounting/Finance/Business Administration or related field required
- Two-three years healthcare experience preferred but not required
- Knowledge of healthcare governmental reimbursement preferred
- Advanced computer knowledge and strong analytical skills required
- Strong writing abilities and knowledge of proper grammar, spelling, punctuation, and sentence structure
- Strong professional, organizational and interpersonal skills to effectively relate with all members of the healthcare team
Apply:
https://www.centrastatejobs.com/job/finance-operations-analyst-6/