Job description
Overview
Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.
CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.
CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.
Responsibilities
CHI St. Alexius is looking for a Full Time Temporary Director of Payor Strategy.
The Director of Payor Strategy provides organizational leadership and support for strategic planning, contracting, enrollment and
positive relations with members, third party payers and external constituents. Responsible for handling all network related matters.
What You'll Do:
Qualifications
Pay Range
na
Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.
CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.
CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.
Responsibilities
CHI St. Alexius is looking for a Full Time Temporary Director of Payor Strategy.
The Director of Payor Strategy provides organizational leadership and support for strategic planning, contracting, enrollment and
positive relations with members, third party payers and external constituents. Responsible for handling all network related matters.
What You'll Do:
- Collaborate with the Board of Directors, the operating board, physician, clinic and hospital
leaders to provide effective and successful contracting and enrollment. - Serve as ex-officio member of the Board of Directors.
- Coordinate and work with operating board in seeking direction and input for completing
essential functions as outlined in the job description. - Maintain close communication with members of the organization. Provide support to
members as requested. - Inform operating board about current trends, problems and propose alternative solutions.
- Oversee the business and financial affairs of the organization, including accounting, internal
controls, bill and collect annual dues and timely reporting. - Review insurance payer contracts for minimum standards of reimbursement and membership
prior to presenting to the board. - Ensure compliance with federal and state rules and regulations regarding the messenger
model for Physician/Hospital organizations. - Represent the organization in its relationships with other health organizations, government
agencies, and third party payers. - Maintain professional affiliations and enhance professional development to keep current in
the latest health care trends and developments. - Maintains the strictest confidentiality.
- Process all applications for membership and enrollment.
- Assist members with global claims and processing issues.
- Maintain provider files for third party payers.
- Maintain network website with current providers, members and contract information.
Qualifications
Education: Undergraduate degree minimum. MBA or MS in Health Administration preferred.
Experience: Seven years of health care administration experience including five years of
experience in clinic or hospital business office setting or medical insurance office setting.
experience in clinic or hospital business office setting or medical insurance office setting.
Pay Range
na
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