Provider Contracting Director jobs in Delaware

Provider Contracting Director is responsible for the operations of the provider contracts department. Ensures that provider contracts are processed to support accurate and efficient claims payments. Being a Provider Contracting Director oversees the formulation of provider contracts and specific terms. Analyzes contract data and provides financial projections. Additionally, Provider Contracting Director requires a bachelor's degree. Typically reports to top management. The Provider Contracting Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Provider Contracting Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

B
ANALYST PROVIDER COMP AND CONTRACTING - BEEBE MEDICAL GROUP
  • Beebe Healthcare
  • Lewes, DE FULL_TIME
  • Why Beebe?

    Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.

    Overview

    Provide compensation support and analysis for BMG Leadership, Physician Compensation Committee, Provider Recruitment, and other leaders as needed. Take leadership role in the enhancement, development, documentation, and communication of identified variances by managing comprehensive analysis of data. Understand the causes of financial & clinical trends and anomalies. Articulate opportunities to internal and external audiences, including senior executives. Implement solutions and track and monitor progress.

    This role is key in supporting BMG leadership and partnering with multidisciplinary teams.

    Responsibilities

    Compensation & Contracting

    Assists in maintaining market competitive compensation programs and pay practices by gathering information regarding current compensation practices, such as base salary rates, production rates, administrative rates, and other pay programs. Analyzes the information by comparing market and/or internal equity.

    Assists in determining the financial impact on Beebe Medical Group. Delivers recommendations to the Physician Compensation Committee. Advises Leaders and Providers on compensation philosophy and practices.

    Provide analysis and guidance for pay decisions and policy interpretation.

    Reviews Physician contracts to ensure compensation is processed correctly and that all pay increases are accurately applied in the HRIS system and production calculations.

    Participates in annual salary surveys from a wide variety of outside consulting groups and reports data findings and makes recommendations for change.

    Participates in HR and information systems management and serves as a liaison, super user, and resource for designated HR responsibilities.

    Helps develop Compensation guidelines and performs structure maintenance to ensure compliance with contracts and rates. Maintains compensation dictionaries regarding base salary pay, production pay, administrative pay, call pay, etc.

    Provides support to payroll team and acts a resource for physician and APP compensation.

    Reviews calculations and spreadsheets for accuracy and completeness.

    Identifies and prioritizes information needs, research and consults compensation and leadership team for best practice solutions, compiles and organizes information, performs data analysis and visualizations, and presentations with BMG Leadership.

    Creates a variety of reports for internal and external customers. Compiles and analyzes data to prepare information for studies/surveys, regulatory compliance reports, auditors, accreditation surveys and other special requests. Assists in the creation of monthly reports and financials for month-end reporting and financial accruals.

    Has basic and developing knowledge of federal, state, and local compensation laws and regulations to ensure compliance. Supports the annual Fair Market Value analysis of physician compensation and understands and helps ensure compliance to federal Start, Anti-Kickback, and other laws and regulations that deal with physician compensation.

    Builds awareness and knowledge base of current trends in compensation technology trends, compensation legislative activity and health care/industry trends which may impact strategic objectives.

    Collaborates with Provider Recruitment and Legal to finalize contracts and serve them up to BMG Leadership to share with candidates.

    FP&A

    Partner with BMG Leadership and Directors to support development of short and long-term financial objectives utilizing analytics and other resources

    Collaborate with Decision Support and Finance to leverage analytics as Subject Matter Expert for recommending contractual improvements to achieve bottom line targets

    Assist with developing and refining BMG financial metrics and data validation

    Support financial reporting and monitoring of revenues, expenses, and cost-saving initiatives, communicating impact and trends to BMG Leadership

    Partner with financial stakeholders to support BMG Leadership's oversight and understanding of internal and external financial trends that impact operations

    Investigate variances and derive solutions to cost increases and quality issues

    Perform cost/benefit analysis

    Perform statistical analyses and explain analyses to non-technical audiences

    Identify trends in expenses, utilization, medical quality, and other areas

    Leverage knowledge of financial, clinical and other information generated by numerous sources to identify opportunities to improve clinical and financial performance

    Meet deadlines and turnaround times (these deadlines and turnaround times may require the employee to work until the project is completed)

    Ad Hoc Responsibilities:

    Performs related duties as required

    Competencies Skills

    Essential:Clear Communication Skills Both Written And VerbalKnowledge Of Basic Computer Programs Able To Keep Confidential Information Regarding Patients, Team MembersAble To Withstand Crisis SituationsHas Skills To Provides Customer Service To Patients, Team Members And VisitorsExperience With Excel, Power Point, Word, Visio, Etc.

    Credentials

    Education

    Essential:Bachelor's Degree in related field

    Other Information

    Required

    Bachelor's degree in healthcare-related field (Ex: healthcare or business management, accounting, finance, economics, or related field)

    2-5 years of relevant experience

    Ability to manage multiple tasks and projects, pay attention to detail

    Excellent planning, communication, organizational, analytical, and mathematical abilities

    Ability to interpret and summarize results from analyses in a timely and meaningful way

    Ability to effectively approach problem solving

    Starting at

    USD $66,206.40/Yr.
  • 15 Days Ago

B
Contracting and Payer Relations Executive Director
  • Bayhealth
  • Dover, DE FULL_TIME
  • Reporting to the CFO, the Executive Director of Contracting & Payer Relations is responsible for all aspects of managed care, governmental, value-based and population health/clinical integration for B...
  • 18 Days Ago

1
US Senior Medical Director, BioPharmaceuticals
  • 10001001 - Director Physician
  • Wilmington, DE FULL_TIME
  • Join our industry-leading BioPharmaceuticals team, where our rich and diverse pipeline speaks for itself. As a US Senior Medical Director, you will play a pivotal role in channeling our scientific cap...
  • 1 Day Ago

1
Sr Medical Director, US Emerging Portfolio and Metabolism
  • 10001001 - Director Physician
  • Wilmington, DE FULL_TIME
  • Introduction to role:Join our industry-leading BioPharmaceuticals team, where our rich and diverse pipeline speaks for itself. As a Sr. Medical Director, you will be a member of the Core Medical Team ...
  • 2 Days Ago

5
US Medical Director - Healthcare Innovation and Clinical Transformation - CVRM
  • 50056669 - Assoc Director Physician
  • Wilmington, DE FULL_TIME
  • US Medical Director - Healthcare Innovation and Clinical Transformation - CVRMIntroduction to role:As the US Medical Director - Healthcare Innovation and Clinical Transformation - Cardiovascular, Rena...
  • 2 Days Ago

D
Director Aquatic Operations- Western Location
  • Director Aquatic Operations - Western Location
  • Newark, DE FULL_TIME
  • Our Promise: Ensure every child is on a pathway to success Improve individual & community wellness Build bridges to connect our community Demand equity for all Support family & economic stability Bene...
  • 1 Month Ago

C
Stock Clerk (Provisional)
  • City of Buffalo, NY
  • Buffalo, NY
  • Salary: $41,887.00 - $46,336.00 Annually Location : Buffalo Fire Department- 195 Court Street, NY Job Type: Full-Time Jo...
  • 4/23/2024 12:00:00 AM

C
Provisional Licensed Counselor
  • Christian Wellness Center Of NJ LLC
  • Somerset, NJ
  • Job Description Job Description Duties/Responsibilities: • Provide counseling for clients and patients, individually and...
  • 4/23/2024 12:00:00 AM

N
Recruiter (Provisional)
  • New York Power Authority
  • White Plains, NY
  • Summary As a recruiter with the New York Power Authority, you will bring your experience in talent acquisition, along wi...
  • 4/22/2024 12:00:00 AM

C
Thermostat Repairer- Provisional
  • CUNY
  • Bronx, NY
  • Thermostat Repairer- Provisional Job ID 28288 Location Bronx Community College Full/Part Time Full-Time Regular/Temporar...
  • 4/22/2024 12:00:00 AM

L
Licensed/Provisionally Licensed Therapist
  • Lutheran Family and Children's Services of Missouri
  • Saint Louis, MO
  • Lutheran Family and Children's Services of Missouri is expanding our Behavioral Health services into Springfield, MO! Be...
  • 4/22/2024 12:00:00 AM

N
Judiciary Clerk 3 (Provisional)
  • New Jersey Courts
  • Elizabeth, NJ
  • Salary: $42,827.46 - $64,864.16 Annually Location : Elizabeth, NJ Job Type: Full Time Job Number: 2024-09553 Central Off...
  • 4/22/2024 12:00:00 AM

N
Judiciary Clerk 3 (Provisional)
  • New Jersey Courts
  • Freehold, NJ
  • Salary: See Position Description Location : Freehold, NJ Job Type: Full Time Remote Employment: Flexible/Hybrid Job Numb...
  • 4/21/2024 12:00:00 AM

P
Construction plans Examiner - Provisional
  • Palm Beach County, FL
  • Palm Beach, FL
  • Examines construction plans for compliance with Florida Building Code, Florida Statutes and County regulations. Reviews ...
  • 4/19/2024 12:00:00 AM

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$175,104 to $252,896

Provider Contracting Director in New Suffolk, NY
The partners expect that their efforts toward greater collaboration between mutuelles and private providers will contribute to greater financial risk protection of covered citizens and support access to universal health coverage.
January 02, 2020
Provider Contracting Director in Vincennes, IN
The provider of services can choose how to perform the service.
January 27, 2020
Provider Contracting Director in Wichita Falls, TX
The Credentialing Committee is chaired by our Medical Director and they give the final determination if a provider meets our credentialing criteria.
December 05, 2019