Director of Payor Innovation

Overview

Provide oversight, management, and evaluation of all national, regional, and local payor innovation contracts.Partners with operations, finance, and sales to analyze and evaluate contracts for all payor innovationproviders. Makes recommendations on which contracts are appropriate, and negotiates new contracts andadditions to existing agreements.

 

Location: 6688 North Central Expwy Dallas, TX 75206

Responsibilities

• Function as the primary payor contact regarding credentialing and contract management; for internal andexternal inquiries, and potential or existing payors.
• Ensure licenses and credentials are verified and updated for the respective contract and payor.
• Ensure the contracting process is completed timely and thoroughly; precise and accurate preparation anddistribution of documents.
• Ensure contract profiles are complete; billing codes, services provided, and amendments.
• Ensure all contract terms, payment structures, and reimbursement rates are communicated.
• Ensure requests for proposals, letters of agreements, applications, credentialing, and processing of allmanaged care contract is complete and timely.
• Ensure payors are notified timely of updates to contracted facilities.
• Ensure credentialing methods and procedures are appropriate and efficient; propose solutions whereneeded.
• Develop and maintain credentialing policies and procedures; ensure compliance with best practices as wellas state and federal laws and regulatory requirements.
• Complete all other duties as assigned.

Qualifications

• Required to have Bachelor's Degree in, accounting, finance, business administration, marketing or relatedfield. Equivalent work experience is considered in lieu of degree requirements.• Preferred previous experience in medical service or marketing.• Preferred previous experience using databases, mobile technology, or web publishing software.• Preferred previous experience in a home health or hospice setting.• Oral communication, written communication, fluency in English, active listening.• Demonstrated intermediate technology skills. Especially MS office, including word, powerpoint, and excel.• Other than for designated full-time remote positions, in-office attendance is essential in order to achieveEnhabit objectives, including but not limited to, effective supervision, teamwork, task completion, and otherposition objectives.* Enhabit does not waive this essential function by permitting duties to be performed remotely on occasion to accommodatetemporary personal needs, such as appointments, or to operate in crises beyond its control, such as during a natural disasteror pandemic.

Additional Information

At Enhabit, we firmly believe our people are our greatest asset! Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Some benefits, tools and resources include:

 

• Comprehensive insurance plans - medical, dental, and vision
• Generous paid time off 
• 401k retirement savings plan with match
• Basic life insurance at no cost to eligible employees
• Employee scholarship program
• Promote-from-within philosophy

Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary