Mgr-Provider&Payor Relations (Exempt)

Description

We're a Little Different

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its "Top 100 Places to Work."

Overview:

The Mgr Provider & Payor Relations is responsible for developing and maintaining positive relationships with self-funded employers and/or their third party administrators on the benefits and contractual obligations under the Health Services Agreement with Mercy. Routinely obtains feedback with currently contracted self-funded employers to discuss any issues that may come up regarding the relationship between the employer, employers health plan and beneficiaries and St. Johns Provider network. Build new relationships with self-funded employers in assigned service area who are not affiliated with Mercy to discuss contracting with the employer to be preferred providers for their employee health plan.

Qualifications:

• Experience: Three years managed care or health care experience
• Required Education: Bachelors degree in business, healthcare administration or other related field
• Other: Understand the healthcare setting, medical terminology and/or managed care benefits and industry desired. Familiarity with medical coding is desired. Requires a highly self-motivated and independent worker who is able to develop and keep own schedule, is able to prioritize assignments and design programs to meet the needs of individual groups and/or offices. Strong interpersonal and communication skills and the ability to design tools which will be useful in educating office staffs and physicians on issues related to managed care. Excel and Access knowledge desired.Must be able to travel within a defined service area.
  

We Offer Great Benefits:

Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!

We're bringing to life a healing ministry through compassionate care.

At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We're expanding to help our communities grow. Join us and be a part of it all.

What Makes You a Good Match for Mercy?

Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We're also collaborative and unafraid to do a little extra to deliver excellent care - that's just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.