PasadenaCARecruiter Since 2001
the smart solution for Pasadena jobs

Payer Engagement Manager

Company: Surgical Care Affiliates
Location: Pasadena
Posted on: April 9, 2021

Job Description:

Location: US-CA-Pasadena# of Openings: 1Category: CorporateSystem ID: 13809OverviewSCA is currently accepting applications for a Manager position on its fast paced and innovative Catalyst team. The Manager of Payer Engagement will partner with operations leaders to establish and execute payer contracting strategies that grow value-based initiatives and support overall SCA earnings growth. This position will enable SCA to achieve earnings growth by partnering with senior managed care leaders who set and execute a strategy that combines payer contracting efforts with case mix, targeted volume growth initiatives, and strategic acquisitions.Accountabilities / ResponsibilitiesSupport Managed Care Rate Growth: Teammate will be responsible for all aspects of managed care contracting for a defined portfolio of facilities. The teammate will partner with the Sr. Director of Managed Care to provide strategic direction to the Operations team around reimbursement, fee schedule management, and growth of ASCs. In addition, they will proactively pursue innovative payment strategies for the top payors within the defined portfolio. Develop Differentiated Payer Relationships: Teammate will become viewed by payers as a problem solver who they want to call. The teammate will require a natural presence as a leader who is able to actively read an audience and make the complex sale not just of the value proposition of ASCs but of innovative payment methodologies that require the payer to try something new.Enable Strategic Acquisitions: Teammate will partner with Development and Operations team to identify suitable growth opportunities and lead rate analysis to ensure clear understanding of contracting impact (rate changes and timing) on pro-formas.Enable Organizational Alignment to Grow Revenue: The teammate will actively take ownership for overall rate growth through an active communication strategy that will typically include participation in monthly operating reviews, presentations to physician partners, engaging Sales to develop physician recruiting plans, partnering with Revenue Cycle to resolve contractual issues impacting collections, etc.Accurate, timely and actionable growth metrics and reporting: Teammate will deliver metrics / reporting package to SCA's Operations and Finance Teams to ensure teammates responsible for revenue and volume growth are clear about the trends and opportunities to increase profitable case volume. QualificationsBachelors degree or at minimum 3 years of direct experience required1+ years health plan contracting/healthcare operational/revenue cycle preferredHealthcare experience with contracting or closely related area, revenue cycle and/or denial management experience preferredTravel to health plan meetings, company meetings, center visits, etc. (20%)Experience in a contracting role preferred - health plan, provider, or ancillary contracting - or equivalent health care facility operations experience. ASC operations experience a plus.Qualified individuals will possess the following success behaviors and demonstrate the ability to leverage them for successful outcomes across all aspects of the work they perform:collaborative, creative, disciplined, driven and influentialUnderstanding of the California managed care environment preferred. Ability to monitor and communicate trends in national, regional, and local markets.Ability to leverage data and execute on defined action plans - Experience with Excel required.Strong verbal and written communication skills, as well as the ability to establish relationships and network within the industry. Skills RequiredSCA, a leader in the outpatient surgery industry, strategically partners with health plans, medical groups and health systems across the country to develop and optimize surgical facilities. SCA operates more than 210 surgical facilities, including ambulatory surgery centers and surgical hospitals, in partnership with approximately 7,500 physicians. For more information on SCA, visit www.scasurgery.com. PI133046228

Keywords: Surgical Care Affiliates, Pasadena , Payer Engagement Manager, Executive , Pasadena, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Shift Manager
Description: Description br br Working at Pizza Hut-- is about making hungry people happy. It's about being independent and having fun, making new friends and earning extra cash. If you're ready to take the next (more...)
Company: Pizza Hut
Location: Arcadia
Posted on: 04/12/2021

Chief Operating Officer (COO)
Description: The chief operating officer COO is a senior executive tasked with overseeing the day-to-day administrative and operational functions of business.RequirementsKEY RESPONSIBILITIES Oversees and directs (more...)
Company: Aliso Ridge Behavioral Health
Location: Aliso Viejo
Posted on: 04/12/2021

Senior Manager, Business Solutions Analysis Safety Office
Description: Career Opportunities: Senior Manager, Business Solutions Analysis Safety Office 10978 At Hyundai, we've rethought our business and created cars that combine performance, quality, design and innovation (more...)
Company: Hyundai Motor America
Location: Fountain Valley
Posted on: 04/12/2021


IT Director
Description: Work with a world class team to develop, implement, and support cutting edge Oracle technology. Manages teams supporting and/or implementing multi-functional and/or multi-location projects and/or systems. (more...)
Company: Oracle
Location: Arcadia
Posted on: 04/12/2021

Licensed Medicare Insurance Agent - State of the Art Lead Management Platform
Description: Considered the gold rush of insurance, Assurance, a Prudential company, is actively looking for independent health insurance agents WITH AHIP certification Residential Insurance License required to (more...)
Company: ASSURANCE Independent Agents
Location: Aliso Viejo
Posted on: 04/12/2021

Ecommerce Marketing Manager
Description: Looking for Highly Motivated Digital Marketing Manager br Company Description br Our company is a leading distributors of PC and Consumer Electronic accessories based in City of Industry, Ca. which (more...)
Company: Go Direct Inc.
Location: Rowland Heights
Posted on: 04/12/2021

Licensed Medicare Insurance Agent - State of the Art Lead Management Platform
Description: Considered the gold rush of insurance, Assurance, a Prudential company, is actively looking for independent health insurance agents WITH AHIP certification Residential Insurance License required to (more...)
Company: ASSURANCE Independent Agents
Location: Hacienda Heights
Posted on: 04/12/2021

Shift Manager
Description: Description br br Working at Pizza Hut-- is about making hungry people happy. It's about being independent and having fun, making new friends and earning extra cash. If you're ready to take the next (more...)
Company: Pizza Hut
Location: San Gabriel
Posted on: 04/12/2021

Manager Electrical Engineering 3 (TS, SCI, OR SSBI)
Description: Category: EngineeringLocation: Redondo Beach, CaliforniaUS Citizenship Required for this Position: YesClearance Type: OtherTelecommute: No -Teleworking not available for this positionShift: 1st ShiftTravel (more...)
Company: Northrop Grumman
Location: Redondo Beach
Posted on: 04/12/2021

Director of Software Development / System Software Lead - Orange Co., CA or Remote
Description: Description: br Director of Software Development / System Software Engineering LeadWe are hiring for an embedded software expert to build an internal software development capability and lead development (more...)
Company: Sonance
Location: San Clemente
Posted on: 04/12/2021

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Pasadena RSS job feeds