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Director of Provider Reimbursement Development - Remote

Posted 1 week ago
Finance / Legal
Full Time
USA

Overview

The Director of Provider Reimbursement Development is responsible for overseeing the functions related to provider reimbursement, including the development and implementation of payment methodologies and guidelines to support contractual arrangements.

In Short

  • Direct oversight of provider reimbursement functions.
  • Develop and implement payment policies and guidelines.
  • Manage departmental operations and staff.
  • Research and analyze reimbursement methodologies.
  • Collaborate on alternative payment method designs.
  • Support corporate strategic initiatives.
  • Maintain knowledge of healthcare reimbursement trends.
  • Excellent leadership and communication skills required.
  • Proficient in financial modeling and analysis.
  • Office-based position with some onsite requirements.

Requirements

  • Bachelor's Degree in Business, Finance, or Healthcare Administration.
  • Minimum of 8 years of healthcare experience.
  • 5 years in provider payment and data analysis.
  • 3 years in a leadership role.
  • Strong financial background and analytical skills.
  • Familiarity with alternative reimbursement models preferred.
  • Ability to manage complex projects.
  • Proficient in MS Office suite.
  • Excellent problem-solving skills.
  • Ability to navigate complex organizational structures.

Benefits

  • Competitive salary package.
  • Comprehensive health benefits.
  • Opportunities for professional development.
  • Collaborative work environment.
  • Support for work-life balance.
  • Access to a wide range of resources and tools.
  • Engagement in strategic initiatives.
  • Networking opportunities within the healthcare industry.
  • Involvement in innovative projects.
  • Commitment to diversity and inclusion.

Highmark

Highmark

West Penn Allegheny Health System, part of Highmark Health, is a comprehensive health organization based in Pittsburgh, Pennsylvania. It encompasses a large network of healthcare services, including one of the largest Blue Cross Blue Shield insurers in the United States and a growing regional hospital and physician network. With a workforce of 35,000 employees, the organization is dedicated to serving millions of customers nationwide through its various affiliated businesses, which provide a wide range of health-related services such as health insurance, healthcare delivery, population health management, dental solutions, and innovative technology solutions. The system is committed to quality care, ethical standards, and diversity in the workplace.

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