Provider Contracting Director jobs in Toms River, NJ

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)

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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.
  • 10 Days Ago

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Entry Level Drywall/Carpentry Estimator
  • DePalma Contracting, Inc.
  • Toms River, NJ FULL_TIME
  • DePalma Contracting Inc. is a commercial carpentry subcontractor operating throughout the state of New Jersey. We are seeking an entry level drywall & carpentry estimator to join our team in our Toms ...
  • Just Posted

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Construction Crew Member
  • New Jersey Contracting Network LLC
  • Whiting, NJ FULL_TIME
  • We are looking for motivated and responsible individuals to help our rapidly growing commercial construction team in the Tri-state area (NJ, NY, PA). We are seeking individuals who can perform general...
  • 1 Day Ago

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Construction Manager
  • New Jersey Contracting Network LLC
  • Whiting, NJ FULL_TIME
  • The construction manager supervises and performs construction duties on a daily basis on commercial construction sites. Supervise employees and job site personnel to complete the scope of work assigne...
  • 1 Month Ago

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General Medical Provider
  • Veterans Evaluation Services-Veterans Affairs
  • Cape May, NJ TEMPORARY,PART_TIME,CONTRACTOR
  • URGENT NEED FOR PROVIDER TO SEE VETERANS IN YOUR OFFICE. ADDITIONAL INCOME STREAM!! Seeking a General Medical Provider (MD, DO, PA, NP) within 100 miles of MIDDLE TOWNSHIP, NJ. Veterans Evaluations Se...
  • 12 Days Ago

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Advanced Practice Provider
  • Astera-OneOncology
  • Toms River, NJ FULL_TIME
  • Summary: The Advanced Practice Provider is responsible for the evaluation and treatment of patients with hematology and oncology conditions. The Advanced Practice Provider works within the construct o...
  • 14 Days Ago

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0 Provider Contracting Director jobs found in Toms River, NJ area

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Hematology Oncology Advanced Practice Provider - Astera Cancer Care
  • Astera Cancer Care
  • Toms River, NJ
  • Astera Cancer Care Nurse Practitioner or Physician Assistant Opportunity Toms River, NJ Outpatient Opportunity Full-Time...
  • 4/18/2024 12:00:00 AM

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Advanced Practice Provider
  • Princeton ENT and Sleep, LLC
  • Princeton, NJ
  • Job Description Job Description Solo Private Medical Practice looking to hire a full-time Advanced Practice Provider, ei...
  • 4/18/2024 12:00:00 AM

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Hematology Oncology Advanced Practice Provider - Astera Cancer Care
  • Astera Cancer Care
  • East Brunswick, NJ
  • Astera Cancer Care Nurse Practitioner or Physician Assistant Opportunity East Brunswick, NJ Outpatient Opportunity Full-...
  • 4/18/2024 12:00:00 AM

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Advanced Practice Provider (FT) Days- Adult Solid Tumor- New Brunswick, NJ
  • Rutgers University Medical Grp
  • New Brunswick, NJ
  • Robert Wood Johnson is seeking an Advanced Practice Provider to join the Cancer Center,This is a full-time opportunity t...
  • 4/16/2024 12:00:00 AM

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ADVANCED PRACTICE PROVIDER - OB GYN
  • Cooper University Health Care
  • Burlington, NJ
  • About us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. O...
  • 4/15/2024 12:00:00 AM

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Advanced Practice Provider - Nurse Practitioner or Physician Assistant
  • LiveWell Choice, LLC
  • Lakehurst, NJ
  • LiveWell Choice, a subsidiary of Longevity Health, is growing and looking to hire an Advanced Practice Provider - Nurse ...
  • 4/15/2024 12:00:00 AM

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Digital & Technology Principal- Health Plan & Provider
  • ZS
  • Princeton, NJ
  • : ZS is a place where passion changes lives. As a management consulting and technology firm focused on transforming glob...
  • 4/15/2024 12:00:00 AM

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Licensed Therapist Counselor Ocean County, NJ
  • True North Clinical Services LLC
  • Island Heights, NJ
  • Job Description Job Description True North Clinical Services is a clinician-owned agency that provides in-home therapy s...
  • 4/14/2024 12:00:00 AM

Toms River is a township in Ocean County, New Jersey, United States. Its mainland portion is also a census-designated place of the same name, which serves as the county seat of Ocean County.[22][23] Formerly known as the Township of Dover, in 2006 voters approved a change of the official name to the Township of Toms River, adopting the name of the largest unincorporated community within the township. As of the 2010 United States Census, the township had a total population of 91,239, with the township ranking as the 8th-most-populous municipality in the state in 2010 (after having been ranked 7...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Contracting Director jobs
$189,250 to $273,327
Toms River, New Jersey area prices
were up 1.5% from a year ago

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