Athletico

Manager Payor Relations

Job Locations US-IL-Oak Brook
Post Date 2 months ago(4/25/2022 8:31 PM)
Job Function
Compliance
Metropolitan Area
Oak Brook IL
Employment Type
Full-Time
Requisition #
2022-21864
Zip Code
60523

Overview

Greater Purpose and Core Values: Athletico’s Greater Purpose is to empower people, inspire hope and transform lives. We accomplish this by providing exceptional, progressive, and cost-effective fitness, performance and rehabilitative services through personalized care that emphasizes education and prevention of future injury. This is accomplished through building on our Core Values of one team, understanding our business, recognition, people-focused, accountability, continuous innovation and trust and integrity, which are the foundation for our unique culture.

 

Position Summary: The Manager of Payor Relations works with the Senior Vice President and Vice President of Payor relations in the development and implementation of strategy focused on strong payor relationships and payment methodologies. These models include unit price reimbursement, value-based contracts with risk or gain sharing components, direct-to-employer arrangements, bundled pricing models with clinically-integrated partners, and delivering better value and outcomes to patients. 

Responsibilities

Essential Duties and Responsibilities: The below  is not an exhaustive list of duties and you will be expected to perform different tasks as necessitated by your changing role within the organization and the overall business objectives of the organization.

  • Negotiate and operationalize payor contracts
  • Drive the development and implementation of payor strategy
  • Analyze current data that influences payor strategy and assist in the development of tools to monitor and expand NRPV (net revenue per visit)
  • Proactively monitor and report current contracting efforts
  • Support the development of strategies with key payors to broaden existing relationship to include outcome-based payments
  • Partner with leadership to ensure that contracting efforts align with company and divisional goals
  • Communicate with relevant stakeholders to ensure contract commitments are operationalized

Qualifications

Qualifications:

  • Education:
    • Bachelor’s degree required, preferably in HealthCare, Business or Finance
  • Work Experience:
    • 5 years healthcare experience, preferably in a provider or payor setting.
    • 3 years of health care provider or health plan contracting, operations, service operations or provider relations experience required.
    • Experience with Contract Management Systems or similar software as well as data and financial analytics a plus
  • Certification/Licensure: None Required
  • Knowledge and Technical Skills:
    • Comprehensive knowledge of Microsoft Office applications
    • Outstanding communication, presentation, negotiation, and relationship-building skills; able to engage with all levels within an organization
    • Highly organized with attention to detail and the ability to manage competing priorities in a fast-paced environment and exercise independent judgement on matters of significance.

Language Skills:

  • Ability to read, write and speak English proficiently

The physical demands and work environment describe here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

 

Physical Demands: 

  • Ability to fulfill office activities including but not limited to remain stationary for extended periods of time (i.e., while working at a desk), stoop/kneel/crouch, travel around the office, communicate with others (verbal and written), and use fine motor skills including fine hand manipulation and keyboarding.
  • Ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus

Work Environment: 

  • Consistent with a standard office environment, noise level is low with little to no extraordinary environmental factors.

 

Athletico provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.   This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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