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Director, Provider Payment Analytics and Processing

Company: LifePoint Health
Location: Brentwood
Posted on: November 9, 2024

Job Description:

Job Description - Director, Provider Payment Analytics and Processing (7410-7627)Who we are:At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an integral part of a group working together to elevate Lifepoint's healthcare delivery network. Our network includes 60+ community hospitals, 60+ rehabilitation/behavioral health hospitals, and 250 additional sites of care across the United States. As an organization, we are dedicated to serving communities nationwide by providing exceptional care. We believe in the power of our talented teams and strive to create environments where employees find purpose and fulfillment.What you'll do:As a Director, Provider Payment Analytics and Processing, you will play a key role in overseeing the provider compensation centralized team and assuring timely and accurate physician payments throughout the organization. The position will oversee accurate provider compensation from the execution of a document through all payments being completed accurately and in accordance with that written document. This position offers an opportunity to leverage strong contract interpretation and abstraction skills as well as strong mathematical skills to make a meaningful impact on the accuracy of provider compensation throughout the organization. This position will also offer the opportunity to oversee a highly skilled team of provider compensation managers.Responsibilities:

  • Responsible for overseeing the interpretation of provider contract provisions and assuring such provisions are entered into the physician compensation tool.
  • Oversee the implementation and maintenance of all compensation provisions and other relevant contract provisions in the physician compensation tool.
  • Coordinate with key business stakeholders to assure all provider payments are made timely and accurately.
  • Communicate provider compensation matters with relevant leadership and market team members.
  • Assure adequate quality reviews on all provider compensation calculations in a timely manner.
  • Oversee random quality reviews for provider compensation on a consistent and intermittent cadence.
  • Oversee provider compensation re-reviews based and assure escalation criteria is followed as scheduled.
  • Manage and oversee the provider compensation centralized team.
  • Assist in educating others on provider compensation as needed and as requested.
  • Assure adequate training of all physician compensation managers and other relevant Lifepoint team members.
  • Communication and presentation skills are imperative.What you'll need:EDUCATION:
    • Graduate of a paralegal program, relevant bachelor's degree and/or commensurate experience required.EXPERIENCE: Minimum five (5) years experience in physician contracting, physician compensation management and/or physician compensation calculating.Why choose us:As a team member of the Health Support Center, our goal is to support those that are in our facilities who are interfacing and providing care to our patients and community members. Our focus is to attract, retain, and empower a diverse and determined workforce. Our mission statement is at the heart of who we are and what we do: "Making Communities Healthier." In this shared mission, we believe that our collective efforts will shape a healthier future for the communities we serve.Benefits: We offer an excellent total compensation package, including a competitive salary and benefits. Some of our benefits include 401k, flexible PTO, generous Employee illness benefit (EIB), medical, dental, vision, tuition reimbursement, and an Employee Assistance Program. We believe that happy, healthy people have a passionate engagement with life and work and have designed our package to enhance your wellbeing.Primary LocationScheduleSchedule: Full-timeWork Schedule: Day shift, 7-10 hr/shift, weekdays only
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Keywords: LifePoint Health, Franklin , Director, Provider Payment Analytics and Processing, Executive , Brentwood, Tennessee

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