Executive Vice President of Payer Source Strategy

Company: EMPOWERME
Location: Saint Louis
Posted on: March 20, 2023

Job Description:

Overview A tech-enabled, multi-service healthcare organization, EmpowerMe Wellness is on a mission to improve the lives of seniors. We enrich senior living communities nationwide through our fully integrated on-site therapy, diagnostic, pharmacy, and nurse practitioner services. With a team of more than 3,000 clinicians and professionals, we focus on improving wellness and driving positive outcomes from a place of deep compassion and expertise. Headquartered in St. Louis, Missouri, EmpowerMe has a presence in hundreds of communities across the country. You can find out more about us at empowerme.com. Responsibilities The Executive Vice President of Payer Source Strategy will be responsible for negotiating and managing value-based agreements with payers, monitoring and analyzing payer market trends, leading the development and implementation of payer strategies that support the organization's transition to a value-based care model, and collaborating with internal teams to improve reimbursement rates. Essential Duties include the following: The following duties are normal for this position. This list is not to be construed as exclusive or all inclusive. Other duties may be required and assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Establish processes for diversifying the organization's payer portfolio Negotiate and manage value-based agreements with payers Develop and implement a payer strategy to support the organization's transition to a value-based care model Monitor and analyze payer market trends to identify new opportunities and threats Collaborate with internal teams to develop and implement strategies to improve the organization's reimbursement rate Communicate payer strategies and negotiation outcomes to senior leadership and stakeholders Act as a liaison between the organization and payers, representing the organization in payer negotiations and meetings Perform other duties as assigned Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required. Bachelor's degree in healthcare administration, business, or related field At least 8-10 years of experience in managed care contracting and value-based agreements Direct experience working with physicians, hospitals, and health care systems Strong negotiation skills and experience in payer negotiations Proven track record of success in developing and implementing payer strategies Knowledge of healthcare reimbursement and payment systems Strong communication and leadership skills Ability to work in a fast-paced and dynamic environment Strong analytical and problem-solving skill Computer Skills: Proficiency in Internet browsers (e.g., Explorer, Chrome, Fire Fox), as well as advanced knowledge of Microsoft Office programs: Outlook, Excel, Word, and Publisher applications. Work Environment & Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit at a desk and work on a computer. Must be able to lift twenty pounds at a time. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. This employer is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the employer will provide reasonable accommodations to qualified individuals with disabilities and encourages prospective employees and incumbents to discuss potential accommodations with the employer.

Keywords: EMPOWERME, St. Louis , Executive Vice President of Payer Source Strategy, Executive , Saint Louis, Missouri