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Posted: Saturday, February 3, 2018 4:45 AM

**Job ID: 233760**
**Director, Contracting & Payor Analytics**
**Austin, Texas**
**Additional Job Information**
**City, State:** Austin,TX
**Location:** TXAUS 4515 Quarry Lake
**Department:** Managed Care Contracting 001
**Additional Job Details:** Full-Time,Day, 40 hours,Weekly
**Marketing Statement**
Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As the largest non-profit health system in the U.S. and the world's largest Catholic health system, Ascension is committed to delivering compassionate, personalized care to all, with special attention to persons living in poverty and those most vulnerable. In FY2016, Ascension provided more than $1.8 billion in care of persons living in poverty and other community benefit programs. Ascension includes approximately 150,000 associates and 36,000 aligned providers. Ascension's Healthcare Division operates 2,500 sites of care including 141 hospitals and more than 30 senior living facilities in 24 states and the District of Columbia, while its Solutions Division provides a variety of services and solutions including physician practice management, venture capital investing, investment management, biomedical engineering, facilities management, clinical care management, information services, risk management, and contracting through Ascension's own group purchasing organization.
**Job Description**
Manages the development and implementation of the managed care financial strategies and analytics to align with the mission, vision, and values of the organization.
+ Provides leadership to Contracting & Payer Relations Analysts and oversees the development of and continuous improvement of the analysts and their duties. Supervises and directs the daily operations of the Analytical team and prepares annual goals, objectives, and strategies for the department.
+ Oversees the utilization and continuous improvement of the financial reports and analytics used for contract management.
+ Develops a national managed care finance and analytics structure that facilitates advanced analytics to leverage Ascension s scale and embrace competencies needed for transitions to value based care reimbursement.
+ Leads the development and testing of contract pricing models with contracted payers that maximize net operating margins and ensure market competitiveness.
+ Serves as the network contact for managed care contracting functions. Supports resolution of managed care contractual issues pertaining to contract interpretation and coding with payers in conjunction with contracting and revenue cycle staff.
+ Assesses managed care contracting requirements and standards as they relate to industry/regulatory issues and market implications. Recommends and implements necessary improvements and revisions to contracting requirements and standards.
+ Coordinates with ministry CFOs to provide Managed Care input for the five-year Integrated, Strategic, Operational, and Financial Plan (ISOFP) for each ministry.
+ Works with Ascension CFO and National Vice President Contracting & Payer Relations to develop a national managed care budget.
+ Assists in the negotiation and oversight of all major value based contracts across the national ministry.
+ Develops recommendations for financial goals on new contracts and remediation on existing contracts.
+ Follows company policies and procedures.
+ Must be able to travel to other company sites or business functions, as needed.
+ Provides education and training to staff or third party vendors, as needed.
+ Performs other duties as assigned or as needed by the business.
+ HS or Equivalent
+ Bachelor s degree in statistics, economics, accounting, finance, health administration, or another related field is preferred.
+ MHA or MBA is preferred
**Work Experience:**
+ Five years technical experience required. Ten years technical experience preferred.
+ Minimum of 6-8 years of experience in finance or financial analytics, preferably in Managed Care, with experience in billing, reimbursement, revenue cycle, or contracting preferred.
+ Minimum of two (2) years in a financial leadership position, managing a team and developing financial strategies and objectives preferred
**Technical Skills:**
+ Managed Care and Revenue Cycle knowledge.
+ Proficiently utilizes Microsoft Excel and other database tools such as Microsoft Access, SQL, or the like.
+ Negotiating skills.
+ Strong analytical skills.
**Behavioral Skills:**
+ A personal presence which is characterized by a sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values.
+ Ability to work collaboratively in a team environment or independently, as applicable.
+ Communicates professionally and effectively in written and verbal manner with payers, third-party administrators, health plan networks, negotiating agencies, department manager and director, as well as other departments within the organization.
+ Abides by policies and procedures that ensure consistency with the organization s mission and directives.
+ Investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format.
+ Effective problem solving and excellent customer service.
+ Takes initiative to identify barriers and opportunities and provides solutions through process and operational improvements.
+ Displays good verbal and written communication skills, and able to professionally receive and follow oral instructions.
+ Exceptional attention to detail and demonstrated ability to prioritize tasks to ensure accuracy and timely completion.
+ Ability to anticipate obstacles to a goal and initiates appropriate resolution. Takes initiative to identify barriers and opportunities and provides solutions through process and operational improvements.
**Equal Employment Opportunity**
Ascension Health is an EEO/AA employer: M/F/Disabled/Vet. For further information regarding your EEO rights, click on the following link to the EEO is the Law poster:
Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
**E-Verify Statement**
Ascension Health participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.
E -Verify (link to E-verify site)
Associated topics: accounting, bank, cash, credit, financial planning, fiscal, investment banking, revenue, risk, tax


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