Lumexa Imaging
Lumexa Imaging
1,001 – 5,000 कर्मचारी
B2Bस्वास्थ्य सेवा
Lumexa Imaging एक स्वास्थ्य सेवा कंपनी है, जो आउटपेशेंट देखभाल और स्वास्थ्य प्रणालियों के साथ साझेदारी के माध्यम से उन्नत डायग्नोस्टिक इमेजिंग तक पहुंच बढ़ाने पर केंद्रित है। 2018 में स्थापित यह कंपनी 13 राज्यों में 185 से अधिक इमेजिंग केंद्रों का संचालन करती है, जिनमें संयुक्त उद्यम वाले स्थान भी शामिल हैं। यह केंद्रीकृत शेड्यूलिंग, सुविधाजनक आउटपेशेंट सेवाओं और उप-विशेषज्ञ रेडियोलॉजिस्ट की व्याख्या के माध्यम से मरीजों की सहायता करती है। इसका Connexia समाधान टेलीरैडियोलॉजी के जरिए इन क्षमताओं का विस्तार करता है, जबकि एआई और आधुनिक इमेजिंग उपकरण नैदानिक गुणवत्ता तथा संचालन संबंधी दक्षता को बढ़ावा देने में सहायक हैं। Lumexa Imaging स्वास्थ्य प्रणालियों के साथ सहयोगात्मक देखभाल मॉडल पर भी काम करती है, जिनका उद्देश्य मरीजों के अनुभव को बेहतर बनाना और उपयुक्त मामलों में अस्पताल की आउटपेशेंट इमेजिंग का कम लागत वाला विकल्प प्रदान करना है।

Senior Director, Managed Care Contracting (Illinois Remote)

Lead payer contract negotiations, reimbursement strategy, and managed care initiatives for Lumexa Imaging. Oversee legal, financial, operational, and cross-functional contracting work.

विवरण

  • Build and sustain productive relationships with payer representatives and leaders across assigned geographies and projects.
  • Partner with joint venture managed care teams and other colleagues to meet contracting and operational goals.
  • Direct the negotiation and execution of managed care payer and third-party contracts.
  • Work with internal and external legal counsel to assess and document payer contract language against departmental and regulatory standards.
  • Conduct contract language reviews and analyses as needed.
  • Provide internal guidance on payer contract language questions and requests.
  • Partner with financial analysts and business teams to prepare negotiation data and analyze claims or operational trends.
  • Support team planning for contract negotiations and renewals by evaluating historical performance and identifying opportunities.
  • Complete contracting activities for acquired facilities, new facilities, and new practices.
  • Resolve contract-related claims and operational issues with internal and external customers, Managed Care Operations, and revenue cycle teams.
  • Communicate new and revised contract terms to internal stakeholders.
  • Create and maintain departmental tracking documentation.
  • Lead special projects and complete other assigned responsibilities.

आवश्यकताएँ

  • Bachelor’s degree in business administration, healthcare administration, finance, law, or a related field is required.
  • A master’s degree in business administration, healthcare administration, public health, or a Juris Doctor degree is preferred.
  • At least 10 years of progressively responsible experience in managed care contracting, payer relations, or healthcare reimbursement, including extensive complex payer agreement negotiation experience.
  • At least five years of leadership experience managing teams, projects, and organizational initiatives.
  • Experience with hospitals, physician organizations, integrated delivery systems, or large multispecialty healthcare organizations is preferred.
  • Proven record of developing and implementing contracting strategies that improve reimbursement, operational performance, and organizational results.
  • Expertise in managed care contracting principles, payer reimbursement methodologies, and healthcare payment models, including fee-for-service, value-based reimbursement, and alternative payment arrangements.
  • Broad knowledge of commercial, Medicare Advantage, Medicaid managed care, and other third-party payer contracting practices.
  • Strong understanding of healthcare regulations governing managed care contracting, reimbursement, and compliance.
  • Advanced skills in contract negotiation, drafting, interpretation, and language analysis.
  • Exceptional financial and analytical ability, including evaluating reimbursement methodologies, recognizing trends, and developing data-driven negotiation strategies.
  • Demonstrated ability to lead complex negotiations and influence internal and external stakeholders toward favorable outcomes.
  • Strong strategic planning, project management, and organizational skills, with the ability to manage competing priorities and deadlines.
  • Excellent written, verbal, and presentation communication skills.
  • Demonstrated ability to build collaborative partnerships across executive leadership, operations, finance, legal, revenue cycle, and clinical teams.
  • Strong leadership, coaching, and team development capabilities, including experience cultivating a high-performing, collaborative workplace.
  • Ability to exercise sound judgment, protect confidential information, and make informed decisions in complex or sensitive circumstances.
  • Proficiency with Microsoft Office, contract management platforms, and healthcare financial and claims reporting tools.

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