Director of Payor Relations - Military veterans preferred

You belong here! At Family Health West, you're more than an employee, you're family.

When you enter our facility, you know it's Family Health West because, well, the color speaks for itself. You'll be part of a team that strives to bring color to care in a vibrant environment by creating fun, effective treatment programs helping to empower and inspire our patients while providing the tools and care they need to achieve their wellness goals.

When we say you'll do what you love, we mean it! Welcomed by open arms and warm smiles, you'll join a team that encourages professional growth. We are sure to put on our listening ears when you share new ideas and approaches to care because that's what got us to the top! You'll wear your badge proudly, knowing that you contribute each day, to providing care that is unmatched, in western Colorado.

So, what are you waiting for?! Fill out the application now, and when you hit send do a little happy dance knowing that you just made our day. If it still sounds too good to be true, come see for yourself. Call us to schedule a tour and meet your new best friends!

About Family Health West

Our roots go deepfounded by the community in 1946, it's no wonder our hospital feels like coming home. We were built from the ground up with the hands of our own community, a labor of dedication and hope by our people, for our people, for the future.

At Family Health West we go beyond what corporate hospitals deliver, we've created a culture of prosperity where warmth, passion, and care flourishes. As we focus on continually improving outcomes for patients, our network of healthcare providers includes a 25-bed critical access hospital, one of the largest rehab providers in western Colorado, outpatient surgical services, specialty clinics, emergency services, skilled nursing, and assisted living facilities.

Nestled at the base of the Colorado National Monument, Family Health West has an outdoor paradise at your back door. The community culture is fitting for outdoor lovers, bikers, hikers, or those just simply soaking in the panoramic views.

Essential Functions:

Communicate necessary information to others as appropriate Reliable and punctual attendance is essential; expected to be at job as scheduled each scheduled day. Create, update, negotiate and implement payor contracts to comply with state and federal regulations for Hospital, and physician office. Stays abreast of changing regulations from CMS, insurance commission and other regulatory partners. Create and maintain contract terms database. Build and maintain strong relationships with contracting staff at insurance companies. Respond to payors to assess interest in contracting with Family Health We Facilitate development of proposed contract with terms favorable to Family Health West. Advise Family Health West on favorable or unfavorable contract terms. Develop strategy for addressing shortfalls in contract terms by creating prioritization and timeline. Monitor and educate FHW about developing legislation as new laws are put forth regarding contracts or reimbursement. Facilitate acceptance or communicate rejection of contract by Family Health West Serve as primary contact for contracting matters between FHW and the payor. Is a resource to the facility, medical staff, patients for insurance questions and narrow-networks. Formulates long and short-term goals for Provider enrollment. Integrates new developments when practical and cost effective. Interacts and cooperates with physicians, management personnel and representatives of external agencies and clients. Has a knowledge and understanding of the organizations internal and external customer needs and is committed to meeting or exceeding those expectations. Provides meaningful data to support Financial Decisions. Works with Director of Decision Support, to prepare regular and ad hoc reporting. Maintains knowledge of the Financial and Decision Support systems, including data download routines, report writing/query procedures and knowledge of all data elements available. Provides accurate and timely financial data analysis and reports related to payors contracts to assist management in decision-making process. Assist with compiling and analysis of internal and external demographic data. Increase productivity by developing automated processes, reporting and tools. Participates on various facility committees. Makes efficient use of work time to accomplish assignments as well as the ability to accept or respond to change in the work environment in a way that promotes the organization's goals and objectives.

Education:

Education

Bachelors Degree in Finance or Accounting, preferred, Related years of experience considered.

Licenses

No professional license required.

Certifications

No Certifications required

Experience

1-2 years related experience preferred.

Opening Info: Position will be open until filled.

Wage Range:

The wage range for this position is $44.23-$64.95

Immunizations required foremployment, including COVID-19.

Benefits

FHW offers a full benefits package including: FOR ALL EMPLOYEES: Employee Assistance Program 403 (B) with 4% match from FHW and zero day vesting schedule FOR FULL TIME EMPLOYEES WORKING AT LEAST 30 HOURS A WEEK Medical Plan Options: I. PPO plan with copay/coinsurance and lower deductible II. High Deductible Health Plan with the option for a Health Savings Account. III. Telemedicine includes in both plan options. Dental Vision Life Insurance/ Accidental Death and Dismemberment Insurance Disability Insurance with a Short and Long Term Option. Critical Illness and Accident Plans Cafeteria Options: Health Reimbursement/ Flex Savings / Dependent Childcare

A host of other options to include: Pet Insurance, Identity Protection, Travel protection, #J-18808-Ljbffr