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Springstone is a leading provider of high quality behavioral health care services in numerous markets throughout the United States. Springstone fulfills its mission of Changing People's Lives® by building and operating innovative behavioral health care hospitals and outpatient locations that feature attractive design, nurturing environments, quality programming, and a patient-centric approach that delivers superior outcomes.

We are seeking compassionate people who want to join us in providing high quality care to patients suffering from mental illness and addiction. Our employees are highly engaged and perform meaningful work everyday. Interested? Search our current openings listed below.

JOB OPPORTUNITIES

Position:  Vice-President of Payor Relations
Location:  Louisville, KY
Job Id:  4505
# of Openings:  1

Vice-President of Payor Relations
Exempt, Full-Time
 
Are you looking to join a growing company whose mission is to help others?  Springstone is a leading provider of high quality behavioral health services in numerous markets throughout the United States.  The name Springstone represents the possibilities of hope and renewal anchored by a solid and secure foundation.  Springstone fulfills its mission of Changing People’s Lives®.
 
Our corporate headquarters is located in downtown Louisville, Kentucky and we are currently looking for a VP of Payor Relations.
 
As the VP of Payor Relations, you will be a member of the corporate Financial Services team.  The representative will be responsible for supporting the Managed Care function of Springstone which includes, but is not limited to,  assisting in (i) hospital and physician contract negotiations, (ii) single case agreements, and (iii) credentialing; serving as the liaison between hospital and payors on administrative matters; market research for new market development. 
 
Members of our team enjoy:
  • Working with a highly engaged staff
  • Career growth
  • Competitive compensation
  • Comprehensive benefit package
Job Details:
 
Under the direction of the VP of Finance, this position is responsible for developing and maintaining strong relationships between the payors, Springstone and the providers affiliated with Springstone. The position will also play a role in the development of strategic relationships with health systems, State and local governments, Accountable Care Organizations and other strategic partners.
 
Requirements:
  • Bachelor’s degree required, preferably in a Business related field of study
  • At least three years of managed care related provider relations and/or network development experience required
  • Experience navigating multi-level organizations and negotiating narrow networks
  • Experience working with bundled payments and at-risk arrangements
  • Must be proficient in Microsoft Office
  • Must communicate clearly and concisely both verbally and in writing
  • Valid driver’s license
Job Duties:
  • Research and prepare organization in collaboration with applicable functional leaders, for federal/state health reform, plus regulatory issues in relation to health benefits, payor products and reimbursement methodologies.
  • Work under the Vice President of Finance to support service functions related to managed care for both hospital and physician entities.
  • Ability to think critically and logically to assess and resolve payor related issues.
  • Develop strong relationships with key payors to advance Springstone’s goals of partnering with strategic providers in our markets.
  • Prepare and analyze data from multiple sources; compile meaningful reports to identify trends.
  • Maintain system repository of all managed care payor legal and administrative documents.
  • Assist in compiling demographic and utilization data of new/potential markets. 
  • Assist in evaluation and contract modeling with managed care plans in support of payor negotiations.
  • Ability to evaluate Single Case Agreement and to determine if meets established criteria
  • Other responsibilities and duties may be assigned based on the progression of the company’s needs.

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