Manager Payor Relations

This Manager Payor Relations position involves financial analysis and pricing of governmental and commercial insurance contracts for FMOLHS facilities, working closely with various departments to ensure accurate payment data and reimbursement optimization. The role requires developing financial insights, negotiating contracts, benchmarking rates, and ensuring compliance with managed care standards.

Requirements

• Develop and maintain financial information for managed care contracts.
• Analyze and quantify financial impact of changes to contracts.
• Benchmarking payment rates and cost to other hospitals.
• Resolve operational issues with managed care payers.
• Develop and maintain contract management modules of the cost accounting system.