Dir Payor Relations & Contract Performance at Fresenius Medical Care

Franklin, Tennessee, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Technically proficient leader in the specific department with knowledge of industry practices and business principles across a large range within a department or multiple departments
Strong tactical decision-maker focused on tactical execution, handling unforeseen issues
Ability to work on complex issues requiring in-depth knowledge of organizational objectives, with significant program or project responsibility within the function
Skill in implementing strategic policies when selecting methods, techniques, and evaluation criteria for obtaining results
Decisions have extended impact on work processes and outcomes; erroneous decisions can cause critical delays or jeopardize business activities
Ability to change thinking or gain acceptance from others in sensitive situations without damaging relationships
Regular interaction with senior management or executive levels on matters concerning several functional areas, divisions, and/or customers
Frequent interaction with internal departments and external customers/vendors, particularly in problem resolution
Responsible for hiring, coaching, counseling employees, including performance reviews, disciplinary action, and terminations

Responsibilities

Provide strategic leadership of short- and long-term goals through communication of company's mission and core values to implement positive change and/or create organizational structure within assigned business unit(s)
Lead operational efforts through subordinates to complete administration of business processes and services, ensuring effective achievement of goals within assigned business unit(s)
Direct and control broad activities of the business unit(s) through interpretation, application, and implementation of company-wide policies and processes appropriate to the functional area(s)
Provide leadership, guidance, and coaching for all direct reports to maintain an engaged and productive workforce; partner with Human Resources on employee matters
Collaborate with employees to establish clear and concise development plans for succession planning and advancement of future leaders
Provide strategic insight on complex industry issues and lead critical initiatives across Fresenius and the payor community
Identify, analyze, and interpret key industry trends to identify strategic growth opportunities, provide strategic recommendations, and negotiate with payor partners
Develop and maintain strategic relationships with payors including PBMs, Health Plans, Regional Health Plans, Government Payors, and other large payors
Oversee contractual relationships with managed care organizations and third-party payors regarding rate structures, clinical and financial reporting obligations, business terms per FMCNA guidelines, and contract maintenance (e.g., facility list updates and amendments)
Develop and foster strong, positive working relationships with existing and future payors to maximize opportunities and promote the company's value proposition
Negotiate contractual relationships with managed care organizations and third-party payors as needed
Oversee and direct strategic planning, evaluation, coordination, and implementation of managed health care programs (HMO, PPO, POS, etc.) for Payor Relations

Skills

Key technologies and capabilities for this role

Strategic PlanningManaged Care ContractsPayor RelationsContract NegotiationFinancial ReportingClinical ReportingLeadershipSuccession PlanningBusiness Process AdministrationTactical Decision-Making

Questions & Answers

Common questions about this position

What is the salary or compensation for the Director of Payor Relations & Contract Performance role?

This information is not specified in the job description.

Is this position remote or does it require office presence?

This information is not specified in the job description.

What skills are required for this Director role?

The role requires strategic leadership, technical proficiency in the department and industry practices, strong tactical decision-making, and the ability to handle complex issues with in-depth knowledge of organizational objectives.

What is the company culture like for this position?

The culture emphasizes communicating the company's mission and core values to implement positive change, providing leadership and coaching to maintain an engaged workforce, and collaborating on development plans for succession planning.

What makes a strong candidate for this Director position?

Strong candidates demonstrate experience providing strategic leadership, leading operational efforts through subordinates, interacting with senior management and external parties, and handling hiring, coaching, and performance management.

Fresenius Medical Care

Provides dialysis and renal healthcare services

About Fresenius Medical Care

Fresenius Medical Care North America focuses on delivering high-quality healthcare services to individuals with kidney and other chronic conditions. The company operates a vast network of dialysis centers and outpatient labs for cardiac and vascular care, ensuring coordinated treatment for many patients across the continent. It stands out as the largest fully integrated renal company, providing not only dialysis services but also specialty pharmacy and laboratory services. Additionally, Fresenius manufactures and distributes a wide range of dialysis equipment, disposable products, and renal pharmaceuticals. The goal of Fresenius Medical Care is to enhance the quality of life for patients with chronic illnesses by providing comprehensive and accessible healthcare solutions.

Waltham, MassachusettsHeadquarters

1996Year Founded

$39.1MTotal Funding

LATE_VCCompany Stage

Biotechnology, HealthcareIndustries

11-50Employees

Benefits

Professional Development Budget

Conference Attendance Budget

Flexible Work Hours

Risks

Increased competition from telehealth solutions like Philips' eCareManager 4.1.

Rising mental health challenges may impact FMCNA's employee productivity.

Virtual reality education may face adoption and accessibility challenges in rural areas.

Differentiation

FMCNA is the world's largest fully integrated renal company.

FMCNA offers a comprehensive line of dialysis equipment and renal pharmaceuticals.

FMCNA provides coordinated healthcare services at pivotal care points for chronic conditions.

Upsides

Telehealth market growth supports FMCNA's remote patient monitoring services.

Home dialysis market expansion aligns with FMCNA's patient-centric care approach.

AI integration enhances FMCNA's predictive analytics and personalized medicine capabilities.

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