Director, Payor Contracting, McLaren Physician Partners

• Responsible for managing contracting activities with third-party payors.
• Collaborates on strategic planning for contracting activities.
• Resource for all contracting activities of MPP, McLaren Health Care Corporation and its subsidiaries. This includes, but not limited to review, redline, and evaluation of language of the Managed Care contracts.
• Participates in and leads negotiations, identifies any issues and coordinates contract workflow/approval through to contract execution.
• Leads and coordinates maintenance, development and upkeep of contracting database along with reporting of dashboard metrics to Vice President.
• Develops and implements policies and processes to monitor contractual obligations and ensure MPP and McLaren’s compliance with such (i.e., annual performance benchmarks, payment rate changes, etc.).
• Analyzes changes in legislation, payor policies, rules and regulations impacting both facility and physician payments. Communicates and educates those impacted, as necessary.
• Acts as liaison between contracted Health Plans and MPP, McLaren, McLaren High Performance Network, and other subsidiaries, including but not limited to, research operational issues and develop work plans needed to resolve issues.
• Identifies and communicates process improvements to the contracting process and data requirements.

Company: McLaren Health Care