• Job Description

  Req#: SENIO004824

  About Sound:

  Headquartered in Tacoma, WA, Sound Physicians is a physician-founded and led, national, multi-specialty medical group made up of more than 1,000 business colleagues and 4,000 physicians, APPs, CRNAs, and nurses practicing in 400-plus hospitals across 45 states. Founded in 2001, and with specialties in emergency and hospital medicine, critical care, anesthesia, and telemedicine, Sound has a reputation for innovating and leading through an ever-changing healthcare landscape — with patients at the center of the universe.

  Sound Physicians offers a competitive benefits package inclusive of the items below, and more:

  • Medical insurance, Dental insurance, and Vision insurance
  • Health care and dependent care flexible spending account
  • 401(k) retirement savings plan with a company match
  • Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
  • Ten company-paid holidays per year

  About the Role:

  Under the strategic direction of the Director or VP, Payer Contracting the Sr. Payer Contracting Manager is responsible for all duties related to managing payer relationships, negotiations, financial modeling and tracking of new and existing payer contracts.

  This position works in a matrixed manner with members of the Revenue Cycle, Business Development, Field Operations, Implementation, Financial Modeling, Payer Contracting Operations, Provider Enrollment and Value Based teams regarding contracting, financial, and strategic objectives for the assigned affecting their specific geographical region and the company. The Sr. Payer Contracting Manager may be an individual contributor or responsible for a team of contractors and must be able to manage their time and/or their team workforce and a significant number of tasks or projects with minimal oversight.

  The Details:

  In this role, you will be responsible for:

  • Developing, coordinating and analyzing managed care agreements (Commercial, Medicare, Medicaid, Exchange and Value Based) including rate development and contract negotiations while understanding key decision points and clearly presenting them for decision making
  • Managing and overseeing payer relationships in the assigned region and understanding contracting and payer life cycle end to end, including contract terms and conditions, for accurate facilitation of contract implementation
  • Working with the Director and/or VP, Payer Contracting to develop and implement plans and objectives for the department in an objective and innovative fashion
  • Collaborating and assisting with analysis of payer mix, rate and utilization review across all service lines to determine contracting and re-contracting opportunities
  • Proactively identifying, researching, understanding and presenting issues in a timely manner that impact Sound Physicians and partner facilities to the Director or VP, Payer Contracting
  • Mentoring Contracting Managers and Payer Contracting Liaisons, as needed, in all aspects of payer contracting activities
  • Managing special projects as required and other duties as assigned

  What we are looking for:

  A successful candidate will have a demonstrated track record of a combination of these values, knowledge, and experience:

  Values :

  • Resourceful: Proactive willingness to utilize available information and tools to figure things out
  • Adaptable: Demonstrates flexibility and a willingness to change as circumstances evolve
  • Collaborative: Demonstrates the ability to work well with others to accomplish a goal and get the work done; takes opinions of others into consideration; includes others in the decision-making process
  • Intellectually curious: Demonstrates a genuine interest in learning new things and wants to know the reason “why” behind the way things are done
  • Passionate: Demonstrates a genuine enthusiasm for and excitement about the work; gets others excited about work or projects they're involved in and working on
  • Strategic thinker: Demonstrates the ability to look at the big picture and proactively develop a plan of action
  • Teamwork: Demonstrates the ability to pull people together into highly effective teams along with ability to work in a highly matrixed organization
  • Communication: The ability to speak, write, and listen clearly and consistently
  • Relationship Building and Maintenance: The ability to create and nourish healthy, strong relationships, as the face of Sound

  Knowledge :

  • Bachelor’s degree in Business, Healthcare Administration or equivalent

  • Ability to manage multiple tasks simultaneously, meet time sensitive deadlines and organize workload with limited supervision
  • Working knowledge of current policies and guidelines that affect contracts, rate development, legislative regulations etc. in the managed care environment
  • Ability to work with Revenue Cycle, Business Development, Implementation, Field Operations, Financial Modeling, Contracting Operations, Provider Enrollment and Value Based teams collaboratively and strategically on initiatives that affect their region
  • Excellent working knowledge of and experience with Medicare reimbursement methodologies, case rate reimbursement methodologies, fee schedule development, utilizing financial models and analysis in negotiating rates with Payers
  • Working knowledge of value based care reimbursement models and the life cycle of value based care agreements
  • Intermediate skills in Microsoft Office suite products, and ability to navigate through any business related software

  Experience:

  • 5 - 7+ years in Commercial Managed Care, Payer, Hospital, ASC settings with an emphasis on contract negotiations (Hospital, ASC and/or Physicians), including 1-3 years of experience managing contractors or contracting teams
  • Excellent commercial contract negotiation skills and experience with physician contracts
  • Excellent organization abilities as well as written and oral communication skills

  Pay Range: $120k-$130k annually. In addition, this role is eligible for a bonus opportunity. Exact pay will be determined based on candidate experience, geographical location, and size/complexity of the program(s) being supported

  Sound Physicians is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws.

  This job description reflects the present requirements of the position. As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.

  #ZR

• About the company

  Improving quality and lowering the cost of care for patients in the communities we serve.

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