POSITION SUMMARY:
The Manager will be responsible for a portfolio of health plan agreements and through leading critical negotiations, grow the value of their portfolio, contributing economic and business success to the goal of advancing the delivery of home-based health care services and keeping clients safe at home. In this role, the Manager will be accountable for the entirety of the contractual relationship with payers in their given geographic territory and portfolio. Given BAYADA Home Health Care’s growth trajectory and the accelerating contracting activity and financial impact, the Manger will thrive in a fast-paced environment. The ability to navigate within a multi-business structure, have a service orientation, and strong character are vital for successful assimilation into BAYADA’s highly collaborative, entrepreneurial culture.
MINIMUM QUALIFICATIONS:
- Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability.
- Four (4) year college degree. MBA, MHA, or similar degree preferred.
- Minimum three (3) to four (4) years of related experience in health care administration.
- Two (2) or more years of negotiating experience (payer/provider contracting, network management, or similar).
- Demonstrable track-record of developing and cultivating relationships within healthcare, including health plans and other entities.
- Working knowledge of Medicare and managed Medicaid reimbursement and health plan payment models.
- Strong collaboration skills with a broad group of internal and external stakeholders and business partners.
- Excellent written and verbal communication skills.
- Ability to thrive in a fast-paced and cross-functional environment.
- Excellent analytical, problem solving and organizational skills a must.
- Advanced Excel and PowerPoint skills.
- Demonstrated record of goal achievement and exceeding performance standards.
- Demonstrated record of strong interpersonal skills.
- Acceptable pre-employment assessment results.
- Ability to read, write and effectively communicate in English.
PRIMARY RESPONSIBILITIES:
- Demonstrate and communicate the core values of BAYADA and The BAYADA Way.
- Develop working knowledge of BAYADA’s mission, services, people, organization, policies and procedures.
- Negotiate optimal fee for service contracts with payers across commercial, Medicare Advantage, and Medicaid products to advance home-based care and encourage client treatment in a safe, lower-cost healthcare setting.
- Manage payer agreements effectively across the contracting life cycle.
- Collaborate on the development of an effective negotiation strategy for each payer contract, including both fee for service and value-based components.
- Cultivate strategic payer relationships and manage those relationships effectively.
- Responsible for the management and growth of a geographic and payer specific portfolio of health plan agreements.
- Establish, maintain, and grow innovative relationships with national and local health plans to create a competitive advantage in the market.
- Complete all aspects of payer contracting and negotiations, from strategy collaboration through the close of negotiation.
- Keep stakeholders and leaders informed throughout the negotiation process to ensure their alignment and produce documentation of business decisions around the negotiation
- Prepare contracting documents and recommendations for leadership approval.
- Demonstrate solid performance or exceed performance standards in key job dimensions/attributes as defined on the Performance Appraisal for Office Staff.
- Perform related duties, or as required or requested by supervisor+
WHY CHOOSE BAYADA?
- BAYADA offers the stability and structure of a national company with the values and culture of a family-owned business.
- https://www.newsweek.com/rankings/americas-greatest-workplaces-diversity-2024/bayada
- Newsweek's Best Place to Work for Diversity 2023
- Newsweek Best Place to Work for Women 2023
- Newsweek Best Place to Work (overall) 2024
- Newsweek Best Place to Work for Women and Families 2023
- Glassdoor Best Places to Work 2018 and 2019
- Forbes Best Places to Work for Women 2020
- Paid Weekly
- Mon-Fri work hours
- AMAZING culture
- Strong employee values and recognition
- Small team at a local office
- Growth opportunities
BAYADA believes that our employees are our greatest asset:
- BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
- To learn more about BAYADA Benefits, click here
As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.
BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.
What We Do
Founded in 1975, BAYADA has become a trusted leader in providing a full range of clinical care and support services at home for children and adults of all ages. With more than 360 offices with 28,000 employees in 23 states and 6 countries, BAYADA has remained true to Mark’s commitment to purpose by finding, training, and supporting employees who take pride and joy in healing and helping. For more information, visit www.bayada.com.
