Responsibilities

About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

The Division Director, Payer Strategies - Acute Care leads third-party payer contracting strategy and initiatives with payers. Develops and implements contracting strategies for all acute care facilities, professional providers and ancillaries.

• Oversees and reviews all external medical provider contracts for the acute care division to ensure adequate reimbursement for medical services and appropriate development of division business opportunities.
• Reviews and develops division contracting policies and coordinates division contract performance.
• Directly participates in and assists the Vice President, Payer Strategies, with analysis, proposal, negotiation, communication and implementation related to third party payer contracting.
• Comprehensive working knowledge of managed care contracting and practices sufficient to maximize revenue generated from these sources. Knowledge of health care finance practices and methods.
• Demonstrated managed care contract negotiation skills.
• Demonstrated inter-personal and written and verbal communication skills.
• Demonstrated ability to collate and analyze multiple data points to inform negotiations.
• Demonstrated ability to work across various levels of the organization up to and including C-Suite (internally and externally).
• Demonstrated skills in small and large group presentations.

Bachelor's degree required, master's degree preferred.

Minimum of 8-10 years experience.

Up to 10-15% travel.

This opportunity offers the following:

Competitive Compensation & Generous Paid Time Off

Excellent Medical, Dental, Vision and Prescription Drug Plans

401(K) with company match and discounted stock plan

SoFi Student Loan Refinancing Program

Career development opportunities within UHS and its 300+ Subsidiaries!

More information is available on our Benefits Guest Website: benefits.uhsguest.com

Qualifications

• Serves as a UHS resource for all negotiation, analysis, communication and implementation for third-party payer contracts. Negotiates and recommends the settlement of all UHS provider-payer contracts. Anticipates and participates in the identification of relevant business opportunities for UHS. This includes at least quarterly reviews with all leadership (CEO and CFO) for goal setting.
• Serves as liaison for construction, review and conclusion of contract language for third party payer contracts. Responsible for the continuous improvement of the UHS contracting principles, contracting framework, and contract checklist/language.
• Establishes exceptional communication between the payer, the facility and UHS leadership. Develops and negotiates complex contracts with third party payers to support contracting strategy and goals. Reduces risk to facilities.
• Provides in depth professional and hospital financial data review, interpreting and reporting at various organizational levels. Attends meetings as necessary to present financial information and address questions or concerns. Evaluates contract performance versus expected financial and operational performance in conjunction with Revenue Cycle leadership and Financial Management leadership. Develops/Implements necessary contract changes as issues and/or new developments occur.
• Properly utilizes UHS I.S. systems and works with the finance department to collate and analyze data that will inform negotiations and ensure rate setting is favorable for UHS.
• Represents UHS to payers to encourage open communication and maintains relationships to the benefit of UHS and assigned facilities.
• Assists regional negotiators in problem resolution with payers related to claims payment and denials by coordinating meetings and using UHS corporate resources to find solutions.
• Reviews, interprets and analyzes profitability of third-party payers. Recommends rate improvements and efficiencies. Aids in implementing changes and identifying payer performance indicators.
• Interacts with other GHS departments, physicians and management utilizing an approach that builds a team relationship. Works effectively with other principals of the Finance leadership team. Works in conjunction with other areas to insure coordinated activities with respect to all contracting needs. Assists in the resolution of operational problems with contracted payers.
• Performs other duties as assigned/required.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

---