Regional Vice-President of Network & Payor RelationsWith the growing demand of our services and expansion of medical centers, we are seeking to add a Regional Vice-President, Network & Payor Relations who has a proven track record in outside sales and account management in the worker's compensation managed care industry. This person must possess the ability and skillset to promote service-line benefits, educate and influence network/payor relationships and expand our third-party contacts within the industry.
Responsibilities- Foster deep relationships/partnerships with key network/payor and critical third party decision makers.
- Maintain ongoing relationships with networks/payors while identifying new contacts to expand and enhance existing relationships.
- Partner with and participate in business development efforts and evaluation of expansion feasibility including proactive payor discussions
- Assist leadership in developing overall network/payor strategy in new and emerging markets in the Region.
- Work professionally and collaboratively, as the network/payor expert, to promote Nova Medical Centers' service offerings in the Region.
- Provides network/payor support to sales and marketing.
- Takes lead in coordinating resolution of network/payor issues.
- Maintains up-to-date competitive information, including: network participation, network reimbursement, provider incentive arrangements, medical and utilization management practices, technology and electronic communication methods used.
- Knowledge and understanding of managed care policies and practices that meet local, state and federal regulatory requirements.
- Establish strong and supportive working relationships with other Nova departments/divisions.
- Performs other duties as assigned.
- Must live within Georgia or Tennessee.
- Remote work.
- Must have a minimum of five (5) years of full-time experience in workers compensation managed care industry.
- Must have a bachelor's degree from an accredited university.
- Should have relationships with carriers, TPAs, and brokers in workers' compensation industry.
Experience: - Must have a minimum of five (5) years of full-time experience in workers compensation managed care industry.
- Must have a bachelor's degree from an accredited university.
- Should have relationships with carriers, TPAs, and brokers in workers' compensation industry.
Skills & Knowledge:- Knowledge of Workers' Compensation laws and regulations as well as managed care practices
- Excellent oral and written communication, including presentation skills
- PC literate, including Microsoft Office products.
- Leadership/management/motivational skills.
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Experience in successful conflict resolution and relationship management
- Demonstrated ability to work independently and as a member of team
- #LI-ND1
