Director, Provider Reimbursement And Contract Analysis- Jhp

Jefferson Health

Philadelphia, Pennsylvania, United States of America
Hybrid
Managed care setting experience
Provider reimbursement methodologies
Financial modeling for negotiations

Skills & Requirements

Must-have

  • Managed care setting experience
  • Provider reimbursement methodologies
  • Financial modeling for negotiations
  • Pennsylvania Medicaid knowledge
  • CMS Medicare payment expertise
  • Claims payment integrity analysis

Nice-to-have

  • Innovative payment model knowledge
  • Team leadership and coaching skills
  • Automated contract operationalization
  • Medical cost reduction initiatives

Key Requirements

  • Minimum 10 years progressive managed care experience
  • Bachelor's degree required; Master's preferred
  • Comprehensive understanding of provider contracts
  • Advanced claims analytics proficiency

Work Rights

Not specified

Tailored Resume

Cover Letter