Director, Health Care Contracting and Revenue Analytics

Posted on Dec 4, 2019 by Adaugeo Healthcare

Lake Oswego, OR 97035
Health Care
Immediate Start
Annual Salary
Full-Time
Adaugeo Healthcare is a growing health care management company
that provides services to its subsidiary companies throughout the
Pacific Northwest. Adaugeo is seeking an experienced professional
who will serve as the company expert for insurance contracting, value based contracting modeling and revenue
analytics. This is a newly created position in response to
Adaugeo's exciting growth.
Location: Prefer primary residence in
Portland, Eugene, Bend or Pendleton, however open to other Western
locations.
Position:
· Will perform lead contract discussions with insurance
companies, including rate and language negotiations in accordance
with established guidelines. Ensure contract terms can be
administered and monitored in a cost effective manner.
· Effectively
interface with management, clinical, operations, and administrative
staff to ensure contract negotiations are completed in accordance
with critical dates and within approved financial parameters.
· Participate in
special projects as needed, including evaluating feasibility of
program development as it pertains to payer operational
requirements and reimbursement policies.
· Stay abreast of
changing healthcare landscape to maintain awareness of competitor
services and reimbursement models, as well as opportunities for
improvement in the financial and operational components of value
based contracts.
· Ensure
contracting efforts remain aligned with enterprise goals.
· Collect and analyze relevant data, build models, design
experiments and make recommendations to manage risk, optimize
pricing, maximize revenue, improve margins, and create significant
value for all lines of business.
Requirements:
Bachelor's degree in business, finance or health care management
preferred. Master's degree in a related field desired.
Experience:
· Negotiating
Insurance Contracts
· Analyzing
Healthcare Actuarial Data
· Producing
Financial Models
· Developing
management reports with data visualization software.
· Developing
strategies, contracts, and rate methodologies to improve
profitability.
· Assisting in
business acquisition analysis.
· SQL Database,
Power BI/Tableau, Excel
· Excellent
communication and negotiation skills
About Adaugeo:
Adaugeo Healthcare and its subsidiary companies have over 1200
employees, in five states. Our family of companies include the
2nd largest multi-specialty clinic in Oregon, the
largest clinical laboratory in the Northwest, surgery centers, and
a real estate development company. Our family of businesses
have over 50 years of proven success in managing health care
organizations. We are pioneers and thought leaders in the industry.
Our commitment to innovation and operational excellence has allowed
us to create health care solutions that are both cost-efficient and
cutting edge.

Reference: 806588615

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