Payor Contracting Coordinator

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Join VillageMD as a Payor Contracting Coordinator, based in Chicago, IL or Remote


Why VillageMD?

At VillageMD, we're looking for a Payor Contracting Coordinator to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we've partnered with many of today's best primary care physicians. We're equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We're creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.

Could this be you?

This individual will be accountable for contributing to successful payor partnerships through support of the development and execution of agreements that advance the VMD business model. With an eye for detail, you will be able to critique contracts and categorize terms, while understanding conflicting issues and problematic language, to support negotiation discussions.

How you can make a difference

  • Support the VillageMD contracting team through the negotiation of complex, value-based payor agreements
  • Determine who are the market payers, what is their market share, and prepare background information on the payors in effort to support the negotiation
  • Support contracting activity by accurately documenting status and deliverables
  • Load and maintain contract management system to inform business functions of contract terms
  • Assimilate contract terms in a simple manner to inform market and functional leaders of any contractual obligations
  • Maintain executed contracts as directed by legal
  • Maintain accurate product level information for contracted payors in assigned markets
  • Communicate contract terms to appropriate VillageMD market operational teams
  • Support management of provider risk pool settlements
  • Support preparation for Joint Operating Committees (JOCs) in partnership with market and functional leaders
  • Manage risk adjustment methodologies and financial impact for commercial and Medicare Advantage populations
  • Understand medical cost trends that drive gains and losses across risk pools
  • Validate VillageMD providers are loaded appropriately through payer online portals or other directory services
  • Support VillageMD success by completing any required tasks as assigned

Skills for success

  • Ability to build meaningful relationships across the organization including exercising discretion and maintaining confidentiality with sensitive matters
  • Must be proactive with strong personal initiative as well as highly organized and detail oriented
  • Well-developed interpersonal skills and the ability to anticipate needs will be integral to success in this role
  • Ability to navigate within ambiguity, a service orientation, and a high level of humility are all requirements for successful assimilation into our highly collaborative, entrepreneurial culture
  • Ability to successfully navigate customer relationship software (i.e. Salesforce)
  • Strong Microsoft Office Skills (Excel, Powerpoint)

Experience to drive change

  • Bachelor’s degree preferred
  • A passion for healthcare administration and value-based care
  • Ability to multi-task, independently manage time, and be detail oriented
  • Advanced knowledge of programs/systems including PowerPoint, Word, Excel, and Concur
  • Excellent oral and written communication skills in order to effectively communicate with internal and external high-level executives and markets
  • Proven project management skills evidenced by the ability to effectively coordinate multiple vendors and resources, internal and external client relationships
  • Demonstrated organizational skills and the ability to multi-task and deliver quality outcomes while effectively managing multiple competing priorities
  • Previous, external client interface and relationship management strongly preferred
  • Hands on approach and expert command of details
  • Excellent interpersonal communication and critical problem-solving skills

How you will thrive

In addition to competitive salaries, a 401k program with company match, bonus and a valuable health benefits package, VillageMD offers paid parental leave, pre-tax savings on commuter expenses, and generous paid time off. You work in a highly-collaborative, conscientious, forward-thinking environment that welcomes your experience and enables you to make a significant impact from Day 1.

Most importantly, you make a difference. You see a clear connection between your daily work on VillageMD products and services and the advancement of innovative solutions and improved quality of healthcare for providers and patients.

Our unique VillageMD culture – how inclusion and diversity make the difference

At VillageMD, we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 

Those seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.

Explore your future with VillageMD today.

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Location

We are in the heart of downtown Chicago - accessible to all trains and plenty of food/drink options nearby!

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