Director – Contract and Payer Relations

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (https://jobs.mayoclinic.org/benefits/) – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. You’ll thrive in an environment that supports innovation, is committed to ending racism and supporting diversity, equity and inclusion, and provides the resources you need to succeed.

Responsibilities

Responsible for creating new and advancing existing strategic relationships with payers and employers that enables access to care at Mayo. Responsible for negotiating payer or specialty contracts for assigned payers or employers organizations with net medical spend of $150,000,000 or less. Serves as a key member of the CPR team with a primary focus on developing, nurturing and advancing relationships. Drafts written contract language for contracts. Responsible for coordinating with other Mayo internal administrative areas to ensure efficient implementation and ongoing maintenance of assigned contracts. Oversees interactions with external payers and employers for resolution of issues. In addition, has direct responsibility for development and execution of strategic initiatives that advance market and practice yield as approved by CPR leadership. Maintains relationship with external payers and employers; corresponds routinely, and explores opportunities to enhance the relationships. Establishes and maintains relationships with the practice and administrative leadership. Participates in developing overall department market and contract strategy for payers or employers. Participates and provides input in the development of enterprise level, regional level, and site specific strategies to maintain and grow market share, yield, and access to Mayo services. Educates Mayo leadership regarding contracts and the payer/employer market. Institutional resource on health care payer market issues.

This position is primarily remote work. Individual must live within driving distance to the Mayo Clinic Rochester, Arizona, or Jacksonville campus.

This position requires international travel up to 40%.

This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.

During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question – Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

Qualifications

Masters degree in business, healthcare or other related field required and ten (10) years of finance management experience with a progressive organization. In lieu of a Master’s degree, a Bachelors degree in business, finance or a related field plus twelve (12) years of finance management experience with progressive responsibilities.

Proficiency in a different language, preferably Arabic is preferred.

Must have legal contract structure, content and health insurance marketplace experience. Requires a broad experience and proven knowledge of corporate benefit options, insurance industry standards, payer payment methodologies, managed care concepts, health care finance fundamentals, medical terminology, third party billing, payment and collection principles. Must have superior skills in leadership, relationship management, verbal and written communications, organization, decision making and the ability to work collaboratively with multiple disciplines internal and external to the organization. Need strong skills in managing multiple tasks concurrently. Positive attitude and strong persuasive skills needed. Direct reports will include other department personnel. Prefer experience with implementing major organizational change, including significant contract or operational redesign and other operational efficiency improvements as payer dynamics have changed. Promotes teamwork and seeks to maximize the potential of all employees. Needs or requires little direction. Is fully capable of independent thought and direction. Able to work, function, and succeed in a consensus driven, collaborative culture and work environment. Must be an individual of high energy, positive attitude, and a proven track record of getting results. Experience with or sensitivity to the uniqueness of a combined research, education and patient care setting desirable. Travel is required.

This position will accept applications until 10/01/2024. This deadline may be extended if the necessary candidate pool is not met by this date.

Exemption Status

Exempt

Compensation Detail

$141,689.60 – $205,420.80 / year. Education, experience and tenure may be considered along with internal equity when job offers are extended.

Benefits Eligible

Yes

Schedule

Full Time

Hours/Pay Period

80

Schedule Details

Monday-Friday, business hours of 8:00 am – 5:00 pm

Weekend Schedule

N/A

International Assignment

No

Site Description

Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. (https://jobs.mayoclinic.org/alllocations)

Affirmative Action and Equal Opportunity Employer

As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.

Recruiter

Oneida Her

Equal opportunity

As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.