St. Luke's Health System seeks a Sr. Director, Payer Relations to join our team.
The Sr. Director, Payer Relations plays a critical role in the financial performance of SLHS, providing direct impact to the strategic direction of fee-for-service and payer contracting across SLHS geographies to secure and strenthen optimal contractual arrangements.
Develop overall SLHS fee for service payer strategy that optimizes SLHS reimbursement potential while strengthening SLHP market potential in value based and directed products.
Maintains market and competitive environment knowledge and a strong working relationship with the payer community. Develop and maintains knowledge of where market is moving including but not limited to: assess competitor capabilities, assess payer landscape, and knowledge of broker community.
Provides leadership to the contracting team and oversees payer contract compliance.
Establish a system of market analysis of reimbursement and SLHS price positioning that enables SLHS to grow market share and receive adequate reimbursement.
Ensures that Payers are complying with contract terms and overseeing SLHS contract audit program.
Establishes and maintains strong working relationship with payer community.
Works to position the strategic affiliation in achieving annual and long terms goals regarding membership, financial performance, access, quality, service, and cost stability to members and employers.
Lead initiatives that further St. Luke's and SelectHealth affiliation that improve the performance of the health plan including customer service initiatives, or sales and marketing initiatives. Excludes setting premiums and/or fee schedule information.
Manage St. Luke's/SelectHealth Steering Committee governance structure and ongoing activities in accordance with contractual agreements.
Education: Bachelor's Degree in healthcare, marketing or business-related field
Experience: 10 years' of relevant professional experience in health care management or closely related field
Why St. Luke's
St. Luke's Health System is Idaho's largest employer and most awarded health system, with a medical staff of over 1,800 physicians and advanced practice providers. Made up of eight hospitals around central and southern Idaho, we are proud to be the only locally owned and operated, physician-led, not-for-profit health system in the state. St. Luke's has been awarded as one of the Top 15 Health Systems in the country by Merative for nine consecutive years. We are committed to providing high quality patient care and positively impacting the lives of those in our community. St. Luke's enjoys an outstanding reputation as both a quality employer and a superior healthcare organization.
Known as the "City of Trees," Boise is Idaho's capital city--both a cultural center and a playground for those who love the outdoors. A vibrant downtown area affords fine dining, theatre, music, and college and semi-professional sports. Downtown Boise's main attractions include the Idaho State Capitol, the classic Egyptian Theatre, the Boise Art Museum, Julia Davis Park and Zoo Boise. The Greenbelt follows the beautiful Boise River corridor for more than 30 miles, and the Boise foothills are home to miles of hiking and biking trails.
Learn more about what the City of Trees has to offer you:
St. Luke's Health System|Boise Convention and Visitors Bureau|Boise Parks and Recreation|Boise Museum Association|Boise Music Festival|Boise Philharmonic|Downtown Boise Restaurants|Boise Valley Economic Partnership|Hyde Park events|Treefort Music Festival|First Thursdays | Alive After Five|Capitol City Public Market|Runs and Triathlons|Shakespeare Festival|Sawtooth National Forest|Visit Idaho.org
*St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
As the only Idaho-based, not-for-profit health system, St. Luke’s Health System is part of the communities we serve, with local physicians and boards who further our organization’s mission “To improve the health of people in our region.” Working together, we share resources, skills, and knowledge to provide the best possible care, no matter which of our hospitals you choose.