Director, Payor Strategy & Analytics

Job Title

Supports the consolidation, analysis, and reporting of commercial revenue. Develops standards for review and analysis to facilitate accurate and timely analysis of all commercial revenue. Identifies trends, variances, discrepancies, and issues and consults with management and executives to determine appropriate plans of action. Supports Managed Care staff in budgeting and forecasting activities.

Principal Duties and Responsibilities :

• Participates in and communicates the FMCNA culture through customer service standards.
• Develops and maintains relationships through effective and timely communication.
• Takes initiative and action to respond, resolve, and follow up regarding customer service issues.
• Complies with all related FMCNA policies and procedures.
• Communicates revenue reporting to Managed Care Management Team.
• Complies with all related data collections and auditing activities.
• Performs various national and global financial analyses to assist with contract proposals.
• Consolidates patient insurance download data.
• Provides consolidated business / payer mix / revenue by payer / treatment mix.
• Develops and produces analytical reports to support managed care efforts.
• Coordinates requests for proposals.
• Reviews billing accuracies.
• Maintains consolidated report of patients reimbursing according to commercial rates.
• Develops and maintains consolidated payer class revenue per treatment report.
• Maintains contract and commercial patient database(s).
• Prepares and updates monthly consolidated revenue per treatment templates and charts.
• Performs quarterly analysis of network data for growth.
• Maintains competitive insurance analysis of individual markets.
• Maintains database on health plan membership by product.
• Other duties as required.

Physical Demands and Working Conditions :

Day to day work includes desk and personal computer work and interaction with internal and external customers. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Supervision :

May be responsible for the direct supervision of various levels of revenue cycle staff.

Education :

Bachelor's Degree in Accounting / Finance or Business or Health Management.

Experience and Required Skills :

Rate of Pay : $100,000.00 - $200,000.00

Benefit Overview : This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance.

EOE, disability / veterans