Job Description

Director, Payor Contracting

Cancer care is all we do

Hope in healing

Cancer Treatment Centers of America® (CTCA®) takes a unique and integrative approach to cancer care. Our patient-centered care model is founded on a commitment to personalized medicine, tailoring a combination of treatments to the needs of each individual patient. At the same time, we support patients’ quality of life by offering therapies designed to help them manage the side effects of treatment, addressing their physical, spiritual and emotional needs, so they are better able to stay on their treatment regimens and get back to life. At the core of our whole-person approach is what we call the Mother Standard® of care, so named because it requires that we treat our patients, and one another, like we would want our loved ones to be treated. This innovative approach has earned our hospitals a Best Place to Work distinction and numerous accreditations. Each of us has a stake in the successful outcomes of every patient we treat.

Job Description:

Will act as the project manager and team lead for the operational activities needed to identify, close, implement and nurture business partnerships that expand patient access for the organization.  Activities will ultimately maximize the impact of our contracted relationships.  Report to the VP of Payer Relations and, under his/her guidance, will act as CTCA’s lead and go-to for any contract operation questions.  This position will be a key conduit for communicating with our corporate partners (Patient Accounting, Finance, etc.) to ensure the smooth operation of our agreements.  As assigned, the position will also act as the key contact for any external account questions or needs. This position will be expected to lead Joint Operating Committee (JOC) meetings for assigned accounts.  Candidates must be confident, articulate, organized, and able to drive large group meetings.  Accountable for documenting, tracking, and possibly leading any next steps identified within the JOC meetings. Additionally, responsible for leading assigned renegotiation activities pursuant to CTCA’s contracted portfolio.  This necessitates an understanding of contracting terminology and reimbursement methodologies.  This role will work with CTCA’s Finance team to model, implement, and track the planned yield for each assigned account.

Contract Operations
*     Internal point of contact and champion for ongoing questions
*     Lead for facility credentialing process
*     Contract term and renewal management (as assigned)
*     Maintenance and coordination of contracting documents and the contracting database
*     Lead for contract implementation
*     Lead for JOC meetings and follow up

Market Development & Special Project Support
*     Key point of contact (externally) for assigned contractual relationships
*     Market support for contract development and nurturing activities
*     Lead project management efforts for ancillary department initiatives, as assigned

Contract Portfolio Management
*     Uses team feedback to document annual portfolio yield expectations
*     Manages and reports on a contract performance dashboard
*     Manages the department lead generation pipeline reports
*     Assembles (and explores) actionable recommendations for increasing contract yield/performance

Education/Experience

  • Bachelors Degree - Business, Healthcare or related field. 
  • Minimum 3 years in external market account management/development activities
  • Minimum 3 years in analytics and data review
  • Proven experience in project management
  • Prefer general business experience (particularly in a sales, business development, or relationship related role).

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We win together

Each CTCA employee is a Stakeholder, driven to make a true difference and help win the fight against cancer. Each day is a challenge, but this unique experience comes with rewards that you may never have thought possible. To ensure each team member brings his or her best self, we offer exceptional support and immersive training to encourage your personal and professional growth. If you’re ready to be part of something bigger and work with a passionate, dynamic group of care professionals, we invite you to join us. 

Visit:  Jobs.cancercenter.com to begin your journey.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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