VP of PAYOR RELATIONS Job at Blue Cloud Pediatric Surgery Centers LLC
Blue Cloud Pediatric Surgery Centers LLC Glen Rock, PA 17327
NOW HIRING
VP of PAYOR RELATIONS
ABOUT US
Blue Cloud is a mission driven company, passionate about kids, great dentistry, safe anesthesia, and making affordable care accessible to everyone. With 17 ambulatory surgery centers (ASCs) across 7 states, we are the largest pediatric ASC company in the country, and were growing!
As our network of ASCs continues to grow into new markets, we are actively recruiting a VP of Payor Relations to join the Blue Cloud leadership team.
OUR VISION & VALUES
At Blue Cloud, its our vision to be the leader in safety and quality for pediatric dental patients treated in a surgery center environment. Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision.
- We cheerfully work hard
- We are individually empathetic
- We keep our commitments
ABOUT YOU
You are a healthcare leader with a passion for making an impact. You have experience building strong relationships with outside stakeholders, specifically managing payor relationships and strategy. You are knowledgeable about Medicaid reimbursements and a skilled negotiator.
You thrive in a fast-faced, dynamic environment, and you desire to contribute to a strong culture where the entire team works together for the good of each patient.
YOU WILL
- Report directly to the CFO
- Enhance Blue Clouds position in the market by building and maintaining strong relationships with applicable healthcare payors
- Be the subject matter expert on CMS programs and relevant Medicaid rate structures
- Oversee the negotiation or renegotiation of payor contracts
- Report market opportunities, monitor significant changes, and advise the leadership team accordingly
- Develop, evaluate, and respond to rate structures and rate levels for all services and locations across the Blue Cloud organization
- Meet with health plans and payors, maintaining a strong relationship on behalf of Blue Cloud
- Engage payors to ensure that Blue Cloud is not excluded or disadvantaged as payors adapt or change their plans and implement policies and/or procedures
- Assist with reporting needs for budget purposes, revenue projections and long-range planning
- Research payors and rates in new markets
- Serve as liaison with Revenue Cycle and other operational departments
- Address operational issues with payers by proactively identifying issues, and soliciting information and feedback from Revenue Cycle regarding implementation and performance of contracts
BENEFITS
- Work with a passionate, dedicated and talented team of leaders in a growing organization committed to doing good
- Competitive health insurance, Flexible Spending and Health Savings Accounts, disability coverage and additional voluntary plans
- 401k plan, including company match
- Competitive Paid Time Off package
- Remote work available
#INDHP123
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