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Assistant Vice President of Payer Engagement
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- Referral services for child, elder and pet care, home and auto repair, event planning and more
- At the direction of the RVP of Operations: Collaborate with IRC, Case Management / URS, Parallon, PCA, Legal and other HUB resources, to oversee the strategic resolution and prevention of denials, payment discrepancies and other claims adjudication issues from HCA’s managed care book of business.
- The primary responsibility of the AVP is to be a leader in the centralized Payer Engagement “HUB” and with dedicated resources to direct the strategic resolution and prevention of denials, and payment discrepancies in the Managed Commercial, Exchange, Managed Medicare and Managed Medicaid books of business that consists of 3700 contracts and generating over 15B in revenue.
- The AVP will collaborate with existing resources across the company (Parallon, Legal, Case Management, DMAT, CDI, HIM, PCA, SPS, PI, HPG)
- The AVP will maintain current knowledge of State and Federal regulations, laws and legislative agendas regarding the healthcare industry, paying particular attention to those that involve healthcare reform, managed care, ERISA and health insurance.
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