Director, Provider Reimbursement And Contract Analysis- Jhp

Jefferson Health

Philadelphia, PA, United States
Hybrid
Reimbursement strategies and methodologies
Network reimbursement financial analyses
Provider contract compensation templates
The Director, Provider Reimbursement and Contract Analysis is responsible for developing reimbursement strategies and methodologies, network reimbursement / financial analyses, and related reimbursement operations

Job Summary

  • The Director, Provider Reimbursement and Contract Analysis is responsible for developing reimbursement strategies and methodologies, network reimbursement / financial analyses, and related reimbursement operations.
  • Responsible for establishing reimbursement methodologies, strategies, and payment analysis for all provider types, overseeing payment methodologies for over $1B annually.
  • Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical, dental, vision, retirement plans, and tuition assistance.

Matching Summary

The Director, Provider Reimbursement and Contract Analysis is responsible for developing reimbursement strategies and methodologies, network reimbursement / financial analyses, and related reimbursement operations.

Skills & Requirements

Must-have

  • Reimbursement strategies and methodologies
  • Network reimbursement financial analyses
  • Provider contract compensation templates
  • Claims payment integrity
  • Pennsylvania Medicaid and CMS Medicare payment methodologies

Nice-to-have

  • Innovative payment models
  • Medical cost reduction initiatives
  • Team leadership and development

Key Requirements

  • Bachelor’s Degree in related field/equivalent
  • Masters’ Degree preferred
  • Minimum of 10 years’ progressive experience
  • Managed care setting/role experience
  • Comprehensive understanding of provider reimbursement
  • Provider contracts experience
  • Financial modeling experience
  • Advanced claims analytics experience

Work Rights

Not specified

Tailored Resume

Cover Letter