Ameritox is the nation's leader in Pain Medication Monitoring Solutions®, offering specialized laboratory testing and reporting services. Ameritox's expertise and innovative science provide physicians with insights and support to enhance and optimize the care of chronic pain patients. Ameritox offers the most thorough pain medication monitoring lab process – Rx Guardian(SM) – with Rx Guardian CD(SM ), the only pain medication monitoring process with a proprietary normalization algorithm and a reference database of pain patients clinically assessed for adherence. Patient results are compared against this database, helping physicians assess whether patients are taking their pain medications correctly. Monitoring through prescription drug testing helps physicians make more informed clinical decisions and manage the risks and complexities associated with prescribing pain medications. Ameritox is headquartered in Baltimore, Md. with laboratory facilities in Midland, Texas and Greensboro, N.C. Ameritox can be found online at www.ameritox.com , on Twitter @Ameritox , on Facebook at facebook.com/ameritox , and on YouTube at www.youtube.com/ameritox .
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. The Regional Director, Payor Contracts (RD) is responsible for cultivating and maintaining solid payor relationships (local/regional/national) within an assigned territory. The RD will lead Ameritox in the development and implementation of payor contracting strategies; negotiate agreements that drive business growth and achieve overall financial goals; ensure all pay contracts are managed in accordance with Ameritox standards. The RD is the primary liaison between payor prospects and internal departments. The RD will provide timely Regional updates to key internal staff and solicit input to ensure a global strategic approach with a payor. S/he will lead and/or support necessary contract administrative processes, seeking appropriate contract approvals. S/he will monitor contract performance and take corrective action(s) to resolve operational issues.
The position also requires the ability to work both independently and drive collaboration as part of a team, embrace change, think creatively and demonstrate excellent interpersonal, verbal and written communication skills.
Specific responsibilities are as follows:
Develop strong partnerships with target payor organizations that help Ameritox achieve revenue/EBIDTA goals. Analyze, evaluate and define global payor approach. Prioritize payor targets to maximize value for Ameritox and those we serve.
Align payor strategies with overall company direction and corporate goals.
Proactively identify and recommend new growth opportunities (primarily within the payor community), creating the required business case and gaining approval.
Responsible for management of financial, operational and contract analysis of payor agreements.
When needed, serve as primary project manager; defining project scope, coordinating internal team, establishing timeframes, gaining approval, managing implementation and monitoring results.
Provide market knowledge to assist in the development of systems, gather key data resources and/or acquire analytical tools necessary to better evaluate the payor industry (whether contracted with Ameritox or not). Work to support the creation of marketing materials that aide in payor outreach.
Work collaboratively with Patient Financial Services to implement, manage and monitor payor contacts. Identify and recommend appropriate operational changes to achieve maximum efficiency with payor contracts. Work collaboratively with Sales/Marketing to connect payor, provider and related marketing strategies.
Act as the primary liaison between Ameritox and payor organizations, strengthening our overall relationship and creating a mutual loyalty. Determine important payor contacts at various levels within the health plan, and engage key Ameritox employees to establish relationships with peer counterparts. Monitor all payor contracts including: quarterly reports, contracts trends, cost, profitability and overall contract compliance.
Evaluate existing payor agreements and create opportunities to further enhance business value and financial growth.
Interact closely with a variety of departments within Ameritox to foster a collaborative environment.
Successfully perform other duties or special projects as assigned.
Adhere to confidentiality (HIPAA) requirements (patient files and personal information).
Payor Service Manager
Bachelor's degree from four-year College or University or equivalent combination of education and experience
5 years + Health plan, Pharmaceutical or related industry. Previous sales, service or contract experience working with Payors, physician and/or hospital entities preferred
OTHER REQUIRED QUALIFICATIONS
Strategic and creative thinker; strong research, analysis and presentation skills
Strong project management and team building skills
Communication skills, both writen and oral
Effective contract negotiation
Must be a self-starter, highly organized, and able to work well with staff at all levels in the organization
Demonstrate leadership, develop strong partnerships, lead change and drive execution
Understand customer demands and promote a service mentality
Accept accountability and maintain integrity
Effective expense and budget management
Needs good knowledge of Microsoft Office and Windows-based computer applications
Experience in financial modeling tools will be considered a plus
OTHER REQUIRED SKILLS
Computer : To perform this job successfully, an individual must have knowledge of capable of performing PC applications including MS Word, Excel, PowerPoint and Access.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to stand and walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close, distance, color and peripheral vision, depth perception and the ability to adjust focus.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is occasionally exposed to various weather conditions as (s)he walks through airport terminals and car rental agencies. The noise level in the work environment is usually moderate.
Compensation will include a competitive salary and benefits package to the successful candidate.
Willingness to travel 30% or more
Ameritox - 2 years ago