Director Provider Payor Relations - WC PIP Payor Strategy

Job Description

Job Description

Description :

Director – Provider Payor Relations and Development – WC / PI Payor Strategy

Responsible for Strategic Planning and Business Development in the Legal, WC / PI Service Lines for provider growth in patient care. The candidate will have strong background in the Operations of a Medical Legal WC Department, Risk Management, and Corporate Wellness for WC treatment, NCM, Adjusters and WC insurance plans for care referrals. Direct Focus on strategy for growth in the WC Market. In addition, the Director will be responsible for the day-to-day operations of the Legal Department, building and implementing best practices for client and patient access with improved efficiency and satisfaction.

Oversee the designated onsite department for all WC and PI Legal Patient Care. Provides leadership and individual motivation; recommend and implement policies and workflows to ensure client and patient satisfaction. Provide a knowledgeable and welcoming public image of the FSA brand. The Director will collaborate with our Marketing Director for PI Legal outreach and will be solely responsible for WC growth and development.

KNOWLEDGE SKILLS AND ABILITY

Must possess knowledge in Physician Development and Business Growth with direct relationships with WC Referral Sources. Knowledgeable in Medical Practice Operation in PIP / PI / WC Medical Patient Care and Billing. The Director will drive operational efficiencies and process improvement while developing, documenting and enforcing internal controls to create consistency in the department.

• Excellent leadership, management, and project management skills
• Ability to work independently and demonstrate initiative in identifying problems, creating solutions, and developing systems to maximize effectiveness.
• Ability to communicate effectively and work with cross functional teams.
• Ability to embrace, manage diversity and build and maintain successful teams.
• Effective problem solving and ability to analyze and use data for decision making.
• Effective interacting with people and developing positive relationships while being tactful, respectful, and direct in communication
• Effectively build teams, achieving results, and driving results through others
• Proficient in Microsoft Outlook, Excel, and other web-based software
• Strong customer service focus : ability to effectively interface with and influence internal / external stakeholders.
• Excellent verbal and written communication skills

POSITION DUTIES AND RESPONSIBILITIES :

Department oversite and coverage for the department operations including :

Requirements :